Organization
WISCONSIN ILLINOIS SENIOR HOUSING, INC.
Active
Other names
Ingleside Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE SHERMAN (CHIEF OPERATION OFFICER)
(303) 980-0611
Entity
Organization
Contact information
Practice address
407 N 8TH ST, MOUNT HOREB, WI 53572-1872
(608) 437-5511
(608) 437-9603
Mailing address
407 N 8TH ST, MOUNT HOREB, WI 53572-1872
(608) 437-5511
(608) 437-9603
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2287
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518213222
—
WI
Enumeration date
07/31/2012
Last updated
10/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us