Organization
PINE MANOR HEALTH CARE CTR
Active
Other names
Greentree Health Care Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BRYLSKI (COTA)
(920) 475-1378
Entity
Organization
Contact information
Practice address
70 W GREEN TREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
Mailing address
70 GREENTREE RD., CLINTONVILLE, WI 54929
(715) 823-2194
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
211-27
WI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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