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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADY LANE HOME, INC.

Active Organization

SHADY LANE HOME, INC. is a Skilled Nursing Facility organization located in MANITOWOC, Wisconsin. NPI 1518926211 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · MANITOWOC, WI

Registration Details

NPI Number
1518926211
Provider Type
Organization
NPI Issued
Mar 21, 2006 (20.398891572717 yrs)
Last Updated
Dec 31, 2020
License
2250 (WI)

Practice Information

Address
1235 S 24TH ST
MANITOWOC, WI, 542205516
Browse WI providers · Browse ZIP 54220
Phone
9206828254
Fax
9206828315
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Organizations in MANITOWOC, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.