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Contact Information

PARK MANOR, LTD.
250 LAWRENCE AVE
PARK FALLS, WI54552-1431
 Phone: 715-762-2449
 Fax: 715-762-3321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for PARK MANOR, LTD.

NPI Number 1699762625
LBN Legal business name PARK MANOR, LTD.
Authorized official SHARON SCHULTZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2005
Last updated 07/28/2019 - About 7 years ago
Identifiers
WI License # 2452
WI Medicaid 20145000
WI Medicaid 41224900
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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