Palmer House

LBN: Methodist Manor Inc
Palmer House is an health care organization with primary practice located at 3023 S 84Th St , West Allis WI 53227-3703. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Methodist Manor Inc can be contacted via phone (414) 607-4100, or through Enlund, James via phone (414) 607-4101.

Contact Information

Primary practice address
3023 S 84Th St West Allis WI 53227-3703
Phone: (414) 607-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Enlund, James
Phone: (414) 607-4101

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X NA-CBRF Wisconsin

Profile Details

NPI number 1649247453
LBN Legal business name Methodist Manor Inc
DBA Doing business as Palmer House
Authorized official Enlund, James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 8th, 2009 - about 17 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 1649247453 NPPES
Wisconsin MEDICAID 2013000

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