Organization · Type 2 NPI

1840 Priddy Street Operating Company, LLC

Skilled Nursing Facility · Bloomer, WI

NPI number 1790141158 Active

Practice location

1840 Priddy St
Bloomer, WI 54724-1546

Call (715) 568-2503 Map

Fax (715) 568-2518

Mailing address

1726 N Ballard Rd
Appleton, WI 54911-2444

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	2807 (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 1790141158

1840 Priddy Street Operating Company, LLC's National Provider Identifier is 1790141158, issued on Jan 14, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bloomer, WI. The record was last updated on Apr 5, 2016.