Organization
HEARTLAND-WASHINGTON MANOR OF KENOSHA WI LLC
Active
Other names
Heartland Health Care Center-Washington Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144-1604
(262) 658-4622
(262) 658-1503
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20200000
—
WI
Enumeration date
05/27/2006
Last updated
05/23/2017
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