Mellen Manor LLC

NPI #1669403499 in Mellen, Wisconsin

Provider Information

NPI Number
1669403499
Entity Type
Organization
Organization Name
Mellen Manor LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 6, 2006
Last Updated
Oct 13, 2020

Practice Location

Address
450 LAKE DR
City
Mellen
ZIP Code
54546-9750
Phone
(715) 274-5706

Authorized Official

Name
JONATHON HANSEN, RN
Title
CEO
Phone
(320) 828-7310

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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