Provider Demographics
NPI:1871805069
Name:RENNES NURSING & REHAB
Entity type:Organization
Organization Name:RENNES NURSING & REHAB
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COTA
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:LEMAY
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:920-632-7815
Mailing Address - Street 1:261 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:PESHTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54157-1217
Mailing Address - Country:US
Mailing Address - Phone:888-214-1942
Mailing Address - Fax:
Practice Address - Street 1:261 FRENCH ST
Practice Address - Street 2:
Practice Address - City:PESHTIGO
Practice Address - State:WI
Practice Address - Zip Code:54157-1217
Practice Address - Country:US
Practice Address - Phone:888-214-1942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-05
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI987-27313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI996175Medicare PIN