Woodland Village

Organization Active NPI Nursing Facility/Intermediate Care Facility · Suring, WI

NPI 1992911796 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992911796
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
License
1530-027 (WI)
Legal business name
WOODLAND VILLAGE
Practice address
430 Manor Dr
Suring, WI 54174-9182
Phone
(902) 842-2191
NPI assigned
May 16, 2007
Organization subpart
No

Authorized official

Name
Michelle Anker
Title
Cota
Phone
(920) 842-2191

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 1530-027 WI Yes

Addresses

Primary practice location

430 Manor Dr
Suring, WI 54174-9182

Mailing address

1111 S River St
Shawano, WI 54166-3229

Other providers in Suring, WI

All providers in Suring, WI · Nursing Facility/Intermediate Care Facility in Wisconsin

Sources for this page

Verify at the official NPI Registry.