National Provider Identifier Database

ST ELIZABETH MANOR INC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

ST. ELIZABETH MANOR, INC.
111 COMMERCIAL DR
FOOTVILLE, WI53537
Phone: 608-876-4000
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for ST. ELIZABETH MANOR, INC.

NPI Number 1295340016
Legal business name
LBN
ST. ELIZABETH MANOR, INC.
Authorized official JULIE MARKS - (CFO)
Entity Organization
Organization subpart No
Enumeration date 09/09/2020
Last updated 09/09/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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