Organization · Type 2 NPI
Burr Oak Manor, Inc.
Assisted Living Facility · Genoa City, WI
NPI number
1780080473
Active
Practice location
264 Walworth St
Genoa City, WI 53128-2147
Fax (262) 279-9622
Mailing address
PO Box 304
Delavan, WI 53115-0304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 310321 (WI) |
| Assisted Living Facility (Mental Illness) | 3104A0625X | 310321 (WI) |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 310321 (WI) |
| Alzheimer Center (Dementia Center) | 311500000X | 310321 (WI) |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 310321 (WI) |
| Inpatient Hospice | 315D00000X | 310321 (WI) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1780080473
Burr Oak Manor, Inc.'s National Provider Identifier is 1780080473, issued on Nov 7, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Genoa City, WI. The record was last updated on Nov 7, 2014.