Juliette Manor

LBN: Thedacare Medical Center - Berlin, Inc.
Juliette Manor is an health care organization with primary practice located at 482 Oak St , Berlin WI 54923-1204. 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. Thedacare Medical Center - Berlin, Inc. can be contacted via phone (920) 361-3092, or through Flett, William via phone (920) 454-4013.

Contact Information

Primary practice address
482 Oak St Berlin WI 54923-1204
Phone: (920) 361-3092
Fax: (920) 361-3438
Website:
Map and Directions
Authorized official contact:
Name: Flett, William
Phone: (920) 454-4013

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1102 Wisconsin

Profile Details

NPI number 1023154929
LBN Legal business name Thedacare Medical Center - Berlin, Inc.
DBA Doing business as Juliette Manor
Authorized official Flett, William
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Jan 3rd, 2024 - about 8 months 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 1023154929 NPPES
Wisconsin MEDICAID 20126400

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