NPI 1013275775

Destani's Child Medical Day Care Provider, INC

Organisation Pediatric Skilled Nursing Facility Milwaukee, WI

Practice location

Address: 3062 N 58th St #1, Milwaukee, WI 53210-1545
Phone: (414) 217-2495
Fax: (414) 445-3893

Authorised official

Name: Janice M Gorden
Title: Administrator
Phone: (414) 217-2495

Registered specialties

Pediatric Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 3140N1450X

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1013275775
Entity type: Organization
NPI issued: 1 May 2012
Record last updated: 1 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.