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Organization
PARK MANOR, LTD.
Active
Organization
PARK MANOR, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SCHULTZ (EXECUTIVE ADMINISTRATOR)
(715) 762-2449
Entity
Organization
Contact information
Practice address
250 LAWRENCE AVE, PARK FALLS, WI 54552-1431
(715) 762-2449
Mailing address
124 W 3RD ST, P.O. BOX 727, WASHBURN, WI 54891-9507
(715) 492-6168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3674-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40838200
—
WI
Enumeration date
10/25/2005
Last updated
08/22/2020
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