Organization
METHODIST MANOR HEALTH CENTER INC
Active
Other names
Maplewood Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ENL/UND (PRESIDENT & CEO)
(414) 607-4101
Entity
Organization
Contact information
Practice address
8615 W BELOIT RD, WEST ALLIS, WI 53227-3711
(414) 607-4100
(414) 607-4502
Mailing address
3023 S 84TH ST, WEST ALLIS, WI 53227-3703
(414) 607-4100
(414) 607-4502
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
2153
WI
313M00000X
Nursing Facility/Intermediate Care Facility
2153
WI
314000000X
Skilled Nursing Facility
Primary
2153
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013000
—
WI
Enumeration date
03/01/2006
Last updated
04/08/2009
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