Methodist Manor Health Center Inc.

NPI #1235106576 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1235106576
Entity Type: Organization
Organization Name: Methodist Manor Health Center Inc.
Primary Specialty: Clinic/Center - Health Service
Enumeration Date: Mar 7, 2006
Last Updated: Apr 8, 2009

Practice Location

Address: 7300 W DEAN RD
City: Milwaukee
State: Wisconsin
ZIP Code: 53223-2637
Phone: (414) 371-7363

Authorized Official

Name: MR. JAMES ENLUND
Title: PRESIDENT & CEO
Phone: (414) 607-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Clinic/Center - Health Service — Health Service	261QH0100X	Primary

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