Whalio Doctors

NPI 1215984307

Manor Care of Shawano Wi LLC

Organisation Skilled Nursing Facility Shawano, WI

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
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 3175 (WI)

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.