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Fmg Hoover Street Wisconsin Llc

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.

physician-icon Basic Information

Practice Location 1610 Hoover St, New Holstein, WI 53061-1636, US
Practice Location Phone920-898-5706
Practice Location Fax
Legal Business NameFMG HOOVER STREET WISCONSIN LLC
Other Organization NameWILLOWDALE NURSING & REHABILITATION CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1336531656
Entity TypeOrganization
Enumeration Date ? Feb 24, 2015
Last Update Date ? Feb 24, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Fmg Hoover Street Wisconsin Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility

official-icon Authorized Official of Fmg Hoover Street Wisconsin Llc

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/PositionAUTHORIZED OFFICIAL
Authorized Official Phone Number414-908-8058