Fremont SNF Opco LLC
Organization Active NPI Skilled Nursing Facility · Algoma, WI
NPI 1063130789 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1063130789
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- FREMONT SNF OPCO LLC
- Practice address
- 1510 Fremont St
Algoma, WI 54201-1948 - Phone
- (920) 487-5511
- NPI assigned
- Aug 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Shmuel Follman
- Title
- Owner
- Phone
- (920) 487-5511
National Provider Directory
Locations
1017 W Glen Oaks Ln
Ste 162
Mequon, WI 53092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1510 Fremont St
Algoma, WI 54201-1948
Mailing address
1510 Fremont St
Algoma, WI 54201-1948
Phone (920) 487-5511
Other names
- WATERFALL HEALTH OF ALGOMA
Other providers in Algoma, WI
- D G Kenny DC SC
- Rachel Lani Davis
- Door County Memorial Hospital
- Ashley Duescher
- Cheryl L Enabnit
- John Edward Gorz
- Michael John Gorz
- Brian William Hansen
- Nathan C Hayes
- Johnson Medical Clinic
All providers in Algoma, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.