SHADY LANE HOME, INC.

Skilled Nursing Facility

Active Organization
NPI: 1518926211

Practice Address

1235 S 24TH ST
Manitowoc, WI 54220

Phone: (920) 682-8254

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 2250 (WI)

Frequently Asked Questions

NPI 1518926211 is the National Provider Identifier for SHADY LANE HOME, INC., a Skilled Nursing Facility provider located in Manitowoc, WI. This NPI was enumerated on March 21, 2006.

Quick Facts

NPI
1518926211
Type
Organization
Enumerated
Mar 21, 2006
Last Updated
Dec 31, 2020

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