Manor Care of Fond Du Lac Wi LLC
NPI #1730135179 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1730135179
- Entity Type
- Organization
- Organization Name
- Manor Care of Fond Du Lac Wi LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 26, 2006
- Last Updated
- May 11, 2017
Practice Location
- Address
- 265 S NATIONAL AVE
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-5334
- Phone
- (920) 922-7342
Authorized Official
- Name
- MR. MARTIN D ALLEN
- Title
- DIRECTOR
- Phone
- (419) 252-5743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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