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Organization
COUNTY OF GRANT - ORCHARD MANOR FDD
Active
Organization
COUNTY OF GRANT - ORCHARD MANOR FDD
Active
Other names
Orchard Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA HAINES N.H.A. (ADMINISTRATOR)
(608) 723-2113
Entity
Organization
Contact information
Practice address
8800 HWY 61, LANCASTER, WI 53813-9306
(608) 723-2113
(608) 723-2210
Mailing address
8800 HWY 61, LANCASTER, WI 53813-9306
(608) 723-2113
(608) 723-2210
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
3109
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0834840001
DMERC
—
05
—
21050300
—
WI
Enumeration date
10/04/2005
Last updated
08/22/2020
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