NPI 1003427766

Nohc Magnolia Meadows LLC

Organisation Assisted Living Facility Manitowoc, WI

Practice location

Address: 1480 N 7th St, Manitowoc, WI 54220-2012
Phone: (847) 612-0750
Mailing address: 1025 Shermer Rd, Northbrook, IL 60062-3730

Authorised official

Name: Dean Carl Maschoff
Title: Member
Phone: (847) 612-0750

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003427766
Entity type: Organization
NPI issued: 14 Aug 2020
Record last updated: 14 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.