SHADY LANE HOME, INC.
Nursing at 24 St, Manitowoc, WI

License number
Wisconsin 2250
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: LISA M WETENKAMP
Title: ACCOUNTS RECEIVABLE
Phone: (920) 682-8254
Address
Address
1235 S 24Th St, Manitowoc, WI 54220
National Provider ID: 1518926211
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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