Organization
BAY AREA LUTHERAN HOMES INC
Active
Other names
Woodside Lutheran Home
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY GRETZINGER (EXECUTIVE DIRECTOR, CAMPUS OPERATIO)
(920) 405-3213
Entity
Organization
Contact information
Practice address
1040 PILGRIM WAY, GREEN BAY, WI 54304
(920) 499-1481
(920) 499-1501
Mailing address
1040 PILGRIM WAY, GREEN BAY, WI 54304
(920) 499-1481
(920) 499-1501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
2177
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20150200
—
WI
Enumeration date
11/14/2006
Last updated
10/13/2023
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