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Organization
PINE MANOR HEALTH CARE CTR
Active
Organization
PINE MANOR HEALTH CARE CTR
Active
Other names
Greentree Health Care Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BRYLSKI (COTA)
(920) 475-1378
Entity
Organization
Contact information
Practice address
70 W GREEN TREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
Mailing address
70 GREENTREE RD., CLINTONVILLE, WI 54929
(715) 823-2194
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
211-27
WI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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