1840 PRIDDY STREET OPERATING COMPANY, LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

BLOOMER, WI

Licensed since

2016

Rate

—

Federal identifiers

NPI registry number1790141158

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NameKEVIN BRESLIN

TitleMANAGER

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