Organization
MANOR MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON K SCHULTZ (SECRETARY TREASURER)
(715) 762-2449
Entity
Organization
Contact information
Practice address
509 BIRCH ST, SUITE B, PARK FALLS, WI 54552-1416
(715) 762-2449
(715) 762-4982
Mailing address
509 BIRCH ST, SUITE B, PARK FALLS, WI 54552-1416
(715) 762-2449
(715) 762-4982
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41676400
—
WI
Enumeration date
12/12/2006
Last updated
08/22/2020
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