Waterfall Health of Algoma, LLC

Organization Active NPI Skilled Nursing Facility · Algoma, WI

NPI 1700513561 · NPPES record last updated Oct 16, 2023

Key facts

NPI
1700513561
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
WATERFALL HEALTH OF ALGOMA, LLC
Practice address
1510 Fremont St
Algoma, WI 54201-1948
Phone
(920) 487-5511
Fax
(920) 487-2668
NPI assigned
Aug 2, 2022
Organization subpart
No

Authorized official

Name
Sam Follman
Title
Owner
Phone
(920) 487-5511

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 providers in Algoma, WI

All providers in Algoma, WI · Skilled Nursing Facility in Wisconsin

Sources for this page

Verify at the official NPI Registry.