ST. ELIZABETH MANOR, INC.; NPI #1295340016

Contact Information

ST. ELIZABETH MANOR, INC.

111 COMMERCIAL DR
FOOTVILLE, WI 53537

Phone: 608-876-4000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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

NPI #	`1295340016`
LBN Legal business name	ST. ELIZABETH MANOR, INC.
Authorized official	JULIE MARKS - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/09/2020
Last updated	09/09/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST. ELIZABETH MANOR, INC.

Contact Information

Specialty

Assisted Living Facility

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

Reviews for ST. ELIZABETH MANOR, INC.