Midway Manor Corp
Midway Manor Corp is a Skilled Nursing Facility in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1519 60th StKenosha, WI 53140-3954
Phone: (262) 656-7500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 2823 (WI) |
|---|
Record details
| NPI number | 1801006978 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Egan — Administrator · (262) 656-7500 |
| Other names | Clairidge House |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1519 60th St, Kenosha, WI 53140-3954 |
Clinicians affiliated with this facility
- Dr. Abdul Ghaffar Durrani, MD Family Medicine Physician · Kenosha, WI
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