Organization
OAKRIDGE GARDENS NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T SCHANKE N.H.A. (ADMINISTRATOR)
(920) 739-0111
Entity
Organization
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 739-0111
(920) 739-4002
Mailing address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 739-0111
(920) 739-4002
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2639
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20106700
—
WI
Enumeration date
07/13/2005
Last updated
11/01/2011
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