NPI 1215984307
Manor Care of Shawano Wi LLC
Practice location
- Address
- 1436 S Lincoln St, Shawano, WI 54166-3427
- Phone
- (715) 526-6111
- Fax
- (715) 524-5708
- Mailing address
- 333 N Summit St 4th Floor Attn Barry Lazarus, Toledo, OH 43604-1531
Authorised official
- Name
- Barry A. Lazarus
- Title
- Vice President-Reimbursement
- Phone
- (419) 252-5541
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1215984307
- Entity type
- Organization
- NPI issued
- 27 May 2006
- Record last updated
- 8 Feb 2008
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.