DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIWANIS MANOR INC

MEDICARE: KIWANIS MANOR INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2548WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215934997
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIWANIS MANOR INC
Provider Business Mailing Address
First Line : 3271 NORTH ST
Second Line :
City : EAST TROY
State : WI
Zip : 53120-1147
Country : US
Telephone Number : 262-642-3995
Fax Number : 262-642-3930
Provider Business Practice Location Address
First Line : 3271 NORTH ST
Second Line :
City : EAST TROY
State : WI
Zip : 53120-1147
Country : US
Telephone Number : 262-642-3995
Fax Number : 262-642-3930
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. LYNN SENECAL
Credential :
Telephone Number : 262-642-3995
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1750551594 — KATHLEEN FLORENCE KENDALL LPN
Practice Location Address:
3271 NORTH ST
EAST TROY, WI
53120-1147
Practice Phone: 262-716-6981
Practice Fax:
1437326063 — SARA L KRAUSE OTR
Practice Location Address:
3271 NORTH ST
EAST TROY, WI
53120-1147
Practice Phone: 262-642-3995
Practice Fax: 262-642-3930
1043463961 — WISCONSIN ILLINOIS SENIOR HOUSING INC.
Practice Location Address:
3271 NORTH ST
EAST TROY, WI
53120-1147
Practice Phone: 262-642-3995
Practice Fax: 262-642-3930
1952540767 — MRS. TRISHA M PETERSON PTA
Practice Location Address:
3271 NORTH ST
EAST TROY, WI
53120-1147
Practice Phone: 262-642-3995
Practice Fax:
1568782076 — TAMMIE L BEGOTKA MOT, OTR/L
Practice Location Address:
3271 NORTH ST
EAST TROY, WI
53120-1147
Practice Phone: 262-684-5153
Practice Fax:
1689970162 — LAUREN CHRISTEN FLEMING
Practice Location Address:
3271 NORTH ST
EAST TROY, WI
53120-1147
Practice Phone: 262-642-3995
Practice Fax:

Directions to “KIWANIS MANOR INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.