Organization
MANITOWOC HEALTH & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN PRINCE (ADMINISTRATOR)
(920) 683-4100
Entity
Organization
Contact information
Practice address
2021 S ALVERNO RD, MANITOWOC, WI 54220-9208
(920) 683-4100
Mailing address
2021 S ALVERNO RD, MANITOWOC, WI 54220-9208
(920) 683-4100
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
20200900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261752627
—
WI
Enumeration date
12/10/2012
Last updated
12/10/2012
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