Methodist Manor INC
NPI #1649247453 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1649247453
- Entity Type
- Organization
- Organization Name
- Methodist Manor INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 1, 2006
- Last Updated
- Apr 8, 2009
Practice Location
- Address
- 3023 S 84TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-3703
- Phone
- (414) 607-4100
Authorized Official
- Name
- MR. JAMES ENLUND
- Title
- PRESIDENT & CEO
- Phone
- (414) 607-4101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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