Manor Care of Green Bay Wi (west) LLC

NPI #1205882149 in Green Bay, Wisconsin

Provider Information

NPI Number
1205882149
Entity Type
Organization
Organization Name
Manor Care of Green Bay Wi (west) LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 25, 2006
Last Updated
May 11, 2017

Practice Location

Address
1760 SHAWANO AVE
ZIP Code
54303-3216
Phone
(920) 499-5191

Authorized Official

Name
MR. MARTIN D ALLEN
Title
DIRECTOR
Phone
(419) 252-5743

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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