Crystal Fountains Rehabilitation Center LLC
Crystal Fountains Rehabilitation Center LLC is a Skilled Nursing Facility in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
403 S Clay StGreen Bay, WI 54301-3807
Phone: (920) 432-5231
Fax: (920) 432-9881
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 1134 (WI) |
|---|
Record details
| NPI number | 1659736478 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Trzebiatowski — Director Of Operations · (715) 340-1479 |
| Other names | Santa Maria Nursing Home |
| NPI enumerated | December 21, 2015 |
| Last updated in NPPES | December 21, 2015 |
| Mailing address | 3450 Bridlewood Dr, Plover, WI 54467-3892 |
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