Provider Demographics
NPI:1770245078
Name:SENIOR MANAGEMENT INC.
Entity Type:Organization
Organization Name:SENIOR MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:D
Authorized Official - Last Name:THAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-269-6815
Mailing Address - Street 1:1001 E 11TH ST N
Mailing Address - Street 2:
Mailing Address - City:LADYSMITH
Mailing Address - State:WI
Mailing Address - Zip Code:54848-1455
Mailing Address - Country:US
Mailing Address - Phone:715-532-5546
Mailing Address - Fax:715-532-5498
Practice Address - Street 1:1001 E 11TH ST N
Practice Address - Street 2:
Practice Address - City:LADYSMITH
Practice Address - State:WI
Practice Address - Zip Code:54848-1455
Practice Address - Country:US
Practice Address - Phone:715-532-5546
Practice Address - Fax:715-532-5498
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENIOR MANAGEMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility