FMG NORTH WISCONSIN STREET WISCONSIN LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

PORT WASHINGTON, WI

Licensed since

2015

Rate

—

Federal identifiers

NPI registry number1205228525

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NameDAVID KEATING

TitleAUTHORIZED OFFICIAL

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