Organization
FMG SOUTH 13TH STREET WISCONSIN LLC
Active
Other names
Meadow View Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
3613 S 13TH ST, SHEBOYGAN, WI 53081-7253
(920) 458-4040
(920) 458-0474
Mailing address
3613 S 13TH ST, SHEBOYGAN, WI 53081-7253
(920) 458-4040
(920) 458-0474
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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