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Fond Du Lac Nursing and Rehab, LLC

NPI 1316422025ActiveOrganization· Skilled Nursing Facility· Fond Du Lac, WI

Skilled Nursing Facility in Fond Du Lac, Wisconsin, registered in NPPES in September 2018. The authorized official on file is Pamela Rice, Director Of Revenue. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1316422025
StatusActive
Entity typeOrganization
NPI issuedSep 27, 2018
Last updated in NPPESSep 16, 2020
Certified by providerSep 16, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (WI)

Medicare sources and data years

Other Skilled Nursing Facility providers in Fond Du Lac

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