SL
SHADY LANE HOME, INC.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MANITOWOC, WI
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1518926211
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameLISA WETENKAMP
TitleACCOUNTS RECEIVABLE
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