Organization Name: | PARK MANOR, LTD. |
NPI Number: | 1699762625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON K SCHULTZ (EXECUTIVE ADMINISTRATOR) |
Mailing Address: | 250 Lawrence Ave Park Falls |
State: | WI US |
Postal Code: | 545521431 |
Phone Number: | 7157622449 |
Fax Number: | 7157623321 |
NPI Enumeration Date: | 10/04/2005 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |