Wausau Manor

LBN: Ehf Wausau Snf Op, Llc
Wausau Manor is an health care organization with primary practice located at 3107 Westhill Dr , Wausau WI 54401-3774. 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. Ehf Wausau Snf Op, Llc can be contacted via phone (715) 842-0575, or through Maassen, Donna Jo via phone (414) 908-8119.

Contact Information

Primary practice address
3107 Westhill Dr Wausau WI 54401-3774
Fax: (715) 842-0577
Website:
Authorized official contact:
Name: Maassen, Donna Jo

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2890 Wisconsin

Profile Details

NPI number 1528068947
LBN Legal business name Ehf Wausau Snf Op, Llc
DBA Doing business as Wausau Manor
Authorized official Maassen, Donna Jo
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 11th, 2008 - about 18 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 1528068947 NPPES
Other 1267430001 MEDICARE DMEPOS
MEDICAID 20199400 MEDICARE DMEPOS

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