Organization
CLEMENT MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS FERGER (ADMINISTRATOR)
(414) 546-7330
Entity
Organization
Contact information
Practice address
3939 S 92ND ST, GREENFIELD, WI 53228-2140
(414) 321-1800
(414) 546-7357
Mailing address
3939 S 92ND ST, GREENFIELD, WI 53228-2140
(414) 321-1800
(414) 546-7357
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2724
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20113300
—
WI
Enumeration date
06/27/2005
Last updated
08/22/2020
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