Organization · Type 2 NPI

CCC of East Fond Du Lac

Skilled Nursing Facility · Fond Du Lac, WI

NPI number 1972089399 Active

Practice location

265 S National Ave
Fond Du Lac, WI 54935-5334

Call (847) 983-4860 Map

Mailing address

8150 Central Park Ave
Skokie, IL 60076-2974

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

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 1972089399

CCC of East Fond Du Lac's National Provider Identifier is 1972089399, issued on Jul 18, 2018. 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 18, 2018.