NPI 1699350397
Lakeshore Manor Memory Care LLC
Practice location
- Address
- 711 Bay Shore Dr, Oshkosh, WI 54901-5218
- Phone
- (920) 393-3871
- Mailing address
- 8170 McCormick Blvd STE 112, Skokie, IL 60076-2914
Authorised official
- Name
- Anya Vistman
- Title
- Corp Counsel
- Phone
- (773) 819-2190
Registered specialties
Nursing Home Administrator
Primary
Registry record
- NPI
- 1699350397
- Entity type
- Organization
- NPI issued
- 14 Mar 2021
- Record last updated
- 14 Mar 2021
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.