OrganizationActive
Polk County-Dept of Administration
NPI 1215981998 · Nursing Facility/Intermediate Care Facility · Amery, WI
Provider details
- NPI number
- 1215981998
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Polk County-Dept of Administration
- Organization subpart
- Yes
- Authorized official
- Dana Reese, Nursing Home Administrator(715) 268-7107
- License
- 2376 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
220 Scholl Ct
Amery, WI 54001-1440
Phone: (715) 268-7107
Fax: (715) 268-6167
Approximate (ZIP-level) locationGet directions
Mailing address
220 Scholl Ct
Amery, WI 54001-1440
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.