Park Manor, Ltd.

LBN: Park Manor, Ltd.
Park Manor, Ltd. is an health care organization with primary practice located at 250 Lawrence Ave , Park Falls WI 54552-1431. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Prosthetic/Orthotic Supplier. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Park Manor, Ltd. can be contacted via phone (715) 762-2449, or through Schultz, Sharon via phone (715) 762-2449.

Contact Information

Primary practice address
250 Lawrence Ave Park Falls WI 54552-1431
Phone: (715) 762-2449
Fax: (715) 762-3321
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Sharon
Phone: (715) 762-2449

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2452 Wisconsin
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1699762625
LBN Legal business name Park Manor, Ltd.
DBA Doing business as
Authorized official Schultz, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 28th, 2019 - about 5 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 1699762625 NPPES
Wisconsin MEDICAID 41224900
Wisconsin MEDICAID 20145000

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