FOND DU LAC NURSING AND REHAB LLC NPI 1316422025

NPI Details

FOND DU LAC NURSING AND REHAB, LLC is a skilled nursing facility in Fond Du Lac, WI. The provider is (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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. FOND DU LAC NURSING AND REHAB, LLC NPI is 1316422025. The provider is registered as an organization entity type.
The provider Is Doing Business As Edenbrook Of Fond Du Lac.

The provider's business location address is:

265 S NATIONAL AVE
FOND DU LAC, WI
ZIP 54935-334
Phone: (920) 922-7342

The provider's authorized official is Pamela Rice .
The authorized official title is Director Of Revenue and has the following contact phone number (773) 825-3336.

The enumeration date for this NPI number is 9/27/2018 and was last updated on 9/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: