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METHODIST MANOR HEALTH CENTER INC

Alzheimer Center

West Allis, Wisconsin

Provider NPI: 1134196983

Organization Information:
Organization Name:  METHODIST MANOR HEALTH CENTER INC


Practice Location:
8615 W BELOIT RD  WEST ALLIS, WI 53227 US
Tel: 414-607-4100  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
WI2153
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
WI2153
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
WI2153

Other Provider Identifiers:

IssuerNumberStateType
2013000WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS WI - Page 1



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