Senior Management Inc
Organization Active NPI Skilled Nursing Facility · Dallas, WI
NPI 1154514511 · NPPES record last updated Nov 7, 2007
Key facts
- NPI
- 1154514511
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 3039 (WI)
- Legal business name
- SENIOR MANAGEMENT INC
- Practice address
- 104 E Dallas St
Dallas, WI 54733-9699 - Phone
- (715) 837-1222
- Fax
- (715) 837-1538
- NPI assigned
- Aug 20, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- SENIOR MANAGEMENT INC
Authorized official
- Name
- Mr. Grant Donald Thayer, NHA
- Title
- President
- Phone
- (507) 269-6815
National Provider Directory
- Part of
- Senior Management Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3039 | WI | Yes |
Addresses
Primary practice location
104 E Dallas St
Dallas, WI 54733-9699
Mailing address
104 E Dallas St
Dallas, WI 54733-9699
Phone (715) 837-1222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20199100 | Medicaid | WI |
Other names
- Dallas Care & Rehab
Other providers in Dallas, WI
All providers in Dallas, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.