Hcr Manor Care

LBN: Hcr Manor Care
Hcr Manor Care is an health care organization with primary practice located at 265 S National Ave , Fond Du Lac WI 54935-5334. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Hcr Manor Care can be contacted via phone (920) 922-7342, or through Williquette, Angela Lee via phone (920) 922-7324.

Contact Information

Primary practice address
265 S National Ave Fond Du Lac WI 54935-5334
Phone: (920) 922-7342
Fax: (920) 922-7335
Website:
Map and Directions
Authorized official contact:
Name: Williquette, Angela Lee Physical Therapist Assistant (PTA)
Phone: (920) 922-7324

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 172-019 Wisconsin

Profile Details

NPI number 1861667248
LBN Legal business name Hcr Manor Care
DBA Doing business as
Authorized official Williquette, Angela Lee Physical Therapist Assistant (PTA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861667248 NPPES
Wisconsin Other 172-019 WISCONSIN STATE LICENSE
Wisconsin MEDICAID 40320900 WISCONSIN STATE LICENSE

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