Fmg Hoover Street Wisconsin Llc is a health care provider in New Holstein, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1610 Hoover St, New Holstein, WI 53061-1636, US|
|Practice Location Phone||920-898-5706|
|Practice Location Fax|
|Legal Business Name||FMG HOOVER STREET WISCONSIN LLC|
|Other Organization Name||WILLOWDALE NURSING & REHABILITATION CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Feb 24, 2015|
|Last Update Date ?||Feb 24, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Fmg Hoover Street Wisconsin Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||David Keating|
|Authorized Official Title/Position||AUTHORIZED OFFICIAL|
|Authorized Official Phone Number||414-908-8058|