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Medicaid
Pediatric Skilled Nursing Facility in Menasha, Wisconsin
NPI 1336109776

Medicaid is a Pediatric Skilled Nursing Facility based in Menasha, WI and is specialized in Nursing Care, Pediatric. Medicaid practices in Menasha, WI. The NPI Number for Medicaid is 1336109776 and holds a License No. (Wisconsin).

The current practice location address for Medicaid is 1125 Geneva Rd, Menasha, WI and can be reached out via phone at 920-450-8323.

Location: 1125 Geneva Rd, Menasha, WI, 54952-1505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336109776
Provider Name
Medicaid
Credential
Provider Entity Type
Organization
Address
1125 Geneva Rd, Menasha, WI, 54952-1505
Phone Number
920-450-8323
Fax Number
Provider Enumeration Date
03/27/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1125 Geneva Rd
City
Menasha
State
Wisconsin
Zip
54952-1505
Phone Number
920-450-8323
Fax Number
person
Provider Business Mailing Address Details
Address
1125 Geneva Rd
City
Menasha
State
Wisconsin
Zip
54952-1505
Phone Number
920-450-8323
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
-
Taxonomy
311Z00000X
License No.
(Wisconsin)
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
(Wisconsin)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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