Organization
WISCONSIN ILLINOIS SENIOR HOUSING INC.
Active
Other names
East Troy Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE L. SHERMAN (MEDICARE PROGRAM MONITOR)
(303) 980-0611
Entity
Organization
Contact information
Practice address
3271 NORTH ST, EAST TROY, WI 53120-1147
(262) 642-3995
(262) 642-3930
Mailing address
3271 NORTH ST, EAST TROY, WI 53120-1147
(262) 642-3995
(262) 642-3930
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Enumeration date
10/23/2008
Last updated
05/13/2020
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