Organization · Type 2 NPI

Fond Du Lac County

Skilled Nursing Facility · Fond Du Lac, WI

NPI number 1659358323 Active

Practice location

459 E 1st St
Fond Du Lac, WI 54935-4505

Fax (920) 929-7509

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	2437 (WI)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1659358323
Entity type: Organization (Type 2)
Issued: Dec 23, 2005
Last updated: Jul 16, 2019
Status: Active

Other names

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Harbor Haven Health & Rehabilitation · doing business as
Harbor Haven Health & Rehabilitation · doing business as

Authorized official

Mark Radmer
Administrator
(920) 929-3309

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659358323

Fond Du Lac County's National Provider Identifier is 1659358323, issued on Dec 23, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jul 16, 2019.