| NPI | 1295939049 |
|---|---|
| Doing Business As | SHELL LAKE HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JONATHON WILLIAM HANSEN CEO 320-828-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 2748) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-10-13 |