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MARCIA CHRISTIANSEN NPI 1720122690


NPI Information

NPI: 1720122690
Provider Name: MARCIA CHRISTIANSEN

Doing Business As: RAINBOW HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 52D1047368

Address:
3100 SOUTHBROOK CT
MANITOWOC, WI
ZIP 54220
Phone: (920) 684-4851
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MARCIA CHRISTIANSEN is an assisted living facility in Manitowoc, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MARCIA CHRISTIANSEN NPI is 1720122690. The provider is registered as an organization entity type.
The provider Is Doing Business As Rainbow House.

The provider's business location address is:

3100 SOUTHBROOK CT
MANITOWOC, WI
ZIP 54220-999
Phone: (920) 684-4851
Fax: (920) 684-6106

The provider's authorized official is Marcia M. Christiansen .
The authorized official title is Nursing Home Administrator and has the following contact phone number (920) 684-4851.

The CLIA number assigned to this NPI record is 52D1047368 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityWISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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