Organization · Type 2 NPI

Crystal Fountains Rehabilitation Center LLC

Skilled Nursing Facility · Green Bay, WI

NPI number 1659736478 Active

Practice location

403 South Clay St
Green Bay, WI 54301-3807

Fax (920) 432-9881

Mailing address

3450 Bridlewood Dr
Plover, WI 54467-3892

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1134 (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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About NPI 1659736478

Crystal Fountains Rehabilitation Center LLC's National Provider Identifier is 1659736478, issued on Dec 21, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 21, 2015.