Evansville Manor, Inc.
NPI #1609863794 in Evansville, Wisconsin
Provider Information
- NPI Number
- 1609863794
- Entity Type
- Organization
- Organization Name
- Evansville Manor, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 4, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 470 GARFIELD AVE
- City
- Evansville
- State
- Wisconsin
- ZIP Code
- 53536-1014
- Phone
- (608) 882-5700
Authorized Official
- Name
- BONNIE MARTIN
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (608) 882-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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