Organization
SENIOR MANAGEMENT INC
Active
Parent organization
SENIOR MANAGEMENT INC
Other names
Dallas Care & Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIOR MANAGEMENT INC
Authorized official
MR. GRANT DONALD THAYER NHA (PRESIDENT)
(507) 269-6815
Entity
Organization
Contact information
Practice address
104 E DALLAS ST, DALLAS, WI 54733-9699
(715) 837-1222
(715) 837-1538
Mailing address
104 E DALLAS ST, DALLAS, WI 54733-9699
(715) 837-1222
(715) 837-1538
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20199100
—
WI
Enumeration date
08/20/2007
Last updated
11/07/2007
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