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Shady Lane Home, Inc.
Skilled Nursing Facility in Manitowoc, Wisconsin
NPI 1518926211

Shady Lane Home, Inc. is a Skilled Nursing Facility based in Manitowoc, WI. Shady Lane Home, Inc. practices in Manitowoc, WI. The NPI Number for Shady Lane Home, Inc. is 1518926211 and holds a License No. 2250 (Wisconsin).

The current practice location address for Shady Lane Home, Inc. is 1235 S 24Th St, Manitowoc, WI and can be reached out via phone at 920-682-8254 and via fax at 920-682-8315.

Location: 1235 S 24Th St, Manitowoc, WI, 54220-5516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518926211
Provider Name
Shady Lane Home, Inc.
Credential
Provider Entity Type
Organization
Address
1235 S 24Th St, Manitowoc, WI, 54220-5516
Phone Number
920-682-8254
Fax Number
920-682-8315
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20158400 05 WI
institution
Provider Business Practice Location Address Details
Address
1235 S 24Th St
City
Manitowoc
State
Wisconsin
Zip
54220-5516
Phone Number
920-682-8254
Fax Number
920-682-8315
person
Provider Business Mailing Address Details
Address
1235 S 24Th St
City
Manitowoc
State
Wisconsin
Zip
54220-5516
Phone Number
920-682-8254
Fax Number
920-682-8315
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
2250 (Wisconsin)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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