Organization · Type 2 NPI
Lakeshore Manor Memory Care LLC
Nursing Home Administrator · Oshkosh, WI
NPI number
1699350397
Active
Practice location
711 Bay Shore Dr
Oshkosh, WI 54901-5218
Mailing address
8170 Mccormick Blvd Ste 112
Skokie, IL 60076-2914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
Another provider at this address
About NPI 1699350397
Lakeshore Manor Memory Care LLC's National Provider Identifier is 1699350397, issued on Mar 14, 2021. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Oshkosh, WI. The record was last updated on Mar 14, 2021.