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NPI Provider: 1215934997
Contact Name: Senecal Lynn
Position: Administrator
Phone: (262) 642-3995
Kiwanis Manor Inc Information:
Kiwanis Manor Inc organization have npi 1215934997, taxonomy code is 314000000X with license number is 2548 in . This Business address located in 3271 North St, East Troy, WI 53120 Wisconsin. Get directions of Kiwanis Manor Inc.
Practice Location
Address: 3271 North St, East Troy, WI 53120
Phone: (262) 642-3995
Business Location
Address: 3271 North St, East Troy, WI 53120
Phone: (262) 642-3995
Fax: (262) 642-3930
Taxonomy
Taxonomy Code: 314000000X
License Number: 2548
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 7/7/2005
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