SO
STATE OF WISCONSIN
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
KING, WI
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1366439986
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTAMMY SERVATIUS
TitleDIVISION OF HOMES ADMINISTRATOR
Phone7152585586
This profile is not yet claimed.
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your listing verified and add a full address.
✓ Is this you? Claim your profile
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your listing verified and add a full address.
✓ Is this you? Claim your profile
Source: NPI Registry · Last refreshed June 24, 2026