JMH Enterprises, LLC

Organization Active NPI Skilled Nursing Facility · Strum, WI

NPI 1922145408 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1922145408
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
2205 (WI)
Legal business name
JMH ENTERPRISES, LLC
Practice address
208 Elm Street
Strum, WI 54770-0009
Phone
(715) 695-2611
Fax
(715) 695-3185
NPI assigned
Jan 31, 2007
Organization subpart
No

Authorized official

Name
John Charles Halbleib
Title
Managing Member LLC
Phone
(715) 877-2411

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2205 WI Yes

Addresses

Primary practice location

208 Elm Street
Strum, WI 54770-0009

Mailing address

PO Box 9
Strum, WI 54770-0009
Phone (715) 695-2611

Other identifiers

IdentifierTypeStateIssuer
20195800MedicaidWI

Other names

  • Crystal Lake Manor Doing business as

Other providers in Strum, WI

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

Sources for this page

Verify at the official NPI Registry.