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Contact Information

NOHC JACKSON SENIOR LIVING LLC
N16744 EAGLE DRIVE
JACKSON, WI53037
 Phone: 847-612-0750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for NOHC JACKSON SENIOR LIVING LLC

NPI Number 1598377905
LBN Legal business name NOHC JACKSON SENIOR LIVING LLC
Authorized official DEAN MASCHOFF - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2020
Last updated 08/18/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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