Manor Care Of Green Bay Wi (West) Llc in Green Bay - Skilled Nursing Facility
Manor Care Of Green Bay Wi (West) Llc - NPI 1205882149
Manor Care Of Green Bay Wi (West) Llc is a Skilled Nursing Facility in Green Bay, Wisconsin. Manor Care Of Green Bay Wi (West) Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Manor Care Of Green Bay Wi (West) Llc is 1205882149. The last update date is 2017-05-11.
Manor Care Of Green Bay Wi (West) Llc's current location address is 1760 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204995191 and fax number 9204998959. The mailing address for Manor Care Of Green Bay Wi (West) Llc is 1760 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Manor Care Of Green Bay Wi (West) Llc |
|---|---|
| Address | 1760 Shawano Ave, Green Bay, Wisconsin |
| Phone Number | 9204995191 |
| Fax Number | 9204998959 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Allen D Martin |
| Telephone Number | 4192525743 |
NPI Number Detail
| NPI Number | 1205882149 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2017-05-11 |
Provider Mailing Address Detail
| Address | 1760 Shawano Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543033216 |
| Phone Number | 9204995191 |
| Fax Number | 9204998959 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2845 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20199800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Manor Care Of Green Bay Wi (West) Llc by the Centers for Medicare & Medicaid Services?
The Manor Care Of Green Bay Wi (West) Llc has been issued the NPI (National Provider Identifier) 1205882149, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Manor Care Of Green Bay Wi (West) Llc located?
The Manor Care Of Green Bay Wi (West) Llc is located at 1760 Shawano Ave, Green Bay, WI 543033216.
What is the Manor Care Of Green Bay Wi (West) Llc's specialty and taxonomy code?
The Manor Care Of Green Bay Wi (West) Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205882149 to Manor Care Of Green Bay Wi (West) Llc?
The Manor Care Of Green Bay Wi (West) Llc received its 1205882149 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date was the information pertaining to Manor Care Of Green Bay Wi (West) Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Manor Care Of Green Bay Wi (West) Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-05-11.