Methodist Manor, Inc. in West Allis - Nursing Facility/intermediate Care Facility

Methodist Manor, Inc. - NPI 1972571628

Methodist Manor, Inc. is a Nursing Facility/intermediate Care Facility in West Allis, Wisconsin. Methodist Manor, Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Methodist Manor, Inc. is 1972571628. The last update date is 2009-04-08.

Methodist Manor, Inc.'s current location address is 3023 S 84th St, West Allis, Wisconsin. You can contact this provider via phone number 4146074100 and fax number 4146074502. The mailing address for Methodist Manor, Inc. is 3023 S 84th St, West Allis, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Methodist Manor, Inc.
Address 3023 S 84th St, West Allis, Wisconsin
Phone Number 4146074100
Fax Number 4146074502
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Enlund James
Telephone Number 4146074100

NPI Number Detail

NPI Number 1972571628
Provider Enumeration Date 2006-03-09
Last Updated Date 2009-04-08

Provider Mailing Address Detail

Address 3023 S 84th St
City West Allis
State Wisconsin (WI)
Post Code 532273703
Phone Number 4146074100
Fax Number 4146074502

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No 2300
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2300 WI FACILITY LICENSE NUMBER
20008100 WI --

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FAQs about Methodist Manor, Inc.

What is the unique provider identifier assigned to Methodist Manor, Inc.?

The Methodist Manor, Inc. has been issued the NPI (National Provider Identifier) 1972571628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Methodist Manor, Inc.'s physical address?

The Methodist Manor, Inc. is physically located at 3023 S 84Th St, in the city of West Allis, WI, with the postal code 532273703.

What is the Methodist Manor, Inc.'s specialty and taxonomy code?

The Methodist Manor, Inc.'s specialty is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code is 313M00000X.

When did the Methodist Manor, Inc. receive its 1972571628?

The Methodist Manor, Inc. was issued its 1972571628 on 2006-03-09, which is the date when the organization was assigned this unique identifier.

As of what date were the Methodist Manor, Inc.'s details last updated?

The information pertaining to the Methodist Manor, Inc., including its address, specialty, and other details, was most recently updated on 2009-04-08.

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