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Mellen Manor Llc
Skilled Nursing Facility in Mellen, Wisconsin
NPI 1669403499

Mellen Manor Llc is a Skilled Nursing Facility based in Mellen, WI. Mellen Manor Llc practices in Mellen, WI. The NPI Number for Mellen Manor Llc is 1669403499 and holds a License No. 314000000X (Wisconsin).

The current practice location address for Mellen Manor Llc is 450 Lake Dr, Mellen, WI and can be reached out via phone at 715-274-5706 and via fax at 715-274-2702.

Location: 450 Lake Dr, Mellen, WI, 54546-9750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669403499
Provider Name
Mellen Manor Llc
Credential
Provider Entity Type
Organization
Address
450 Lake Dr, Mellen, WI, 54546-9750
Phone Number
715-274-5706
Fax Number
715-274-2702
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20120500 05 WI
100103573 05 WI
institution
Provider Business Practice Location Address Details
Address
450 Lake Dr
City
Mellen
State
Wisconsin
Zip
54546-9750
Phone Number
715-274-5706
Fax Number
715-274-2702
person
Provider Business Mailing Address Details
Address
450 Lake Dr
City
Mellen
State
Wisconsin
Zip
54546-9750
Phone Number
715-274-5706
Fax Number
715-274-2702
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
314000000X (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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