Organization
ST. MARY'S HOME FOR THE AGED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK SOLTYS NHA, MSN (PRESIDNET/CEO/NHA/MSN)
(920) 684-7171
Entity
Organization
Contact information
Practice address
1635 S 21ST ST, MANITOWOC, WI 54220-6380
(920) 684-7171
(920) 684-0118
Mailing address
1635 S 21ST STREET, MANITOWOC, WI 54220-5652
(920) 684-7171
(920) 684-0118
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
540
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20136700
—
WI
Enumeration date
08/01/2006
Last updated
12/15/2015
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