| NPI | 1538169693 |
|---|---|
| Other Name | ST NICHOLAS HOSPITAL HOSPICE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ALLEN CFO 920-884-5660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: WI 532) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2021-12-22 |