NPI 1720122690

Marcia Christiansen

Organisation Assisted Living Facility Manitowoc, WI

Practice location

Address: 3100 Southbrook CT, Manitowoc, WI 54220-5999
Phone: (920) 684-4851
Fax: (920) 684-6106

Authorised official

Name: Marcia M. Christiansen
Title: Nursing Home Administrator
Phone: (920) 684-4851

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1720122690
Entity type: Organization
NPI issued: 16 Feb 2007
Record last updated: 25 Jun 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.