Kiwanis Manor Inc

NPI 1215934997 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1215934997
Enumeration Date 07/07/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LYNN LYNN
Position ADMINISTRATOR
Phone (262) 642-3995
Fax (262) 642-3930
Practice Location
3271 NORTH ST
EAST TROY WI, 53120-1147, US
Phone (262) 642-3995
Fax (262) 642-3930
Business Location
3271 NORTH ST
EAST TROY WI, 53120-1147, US
Phone (262) 642-3995
Fax (262) 642-3930
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 2548
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According to our database, Kiwanis Manor Inc NPI is 1215934997, taxonomy code is 314000000X and license number is 2548, license state is located at Wisconsin. Kiwanis Manor Inc physically located at 3271 North St, East Troy WI, 53120-1147. NPI Number 1033115704 has the healthcare provider type.

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1215934997 NPI number is provided on an as is basis without warranty of any kind. 1215934997 is maintained by the National Plan & Provider Enumeration System. The contents of Kiwanis Manor Inc are for informational purposes only.