NPI 1164729877
Licensed to Care
Practice location
- Address
- 5846 N 68th St, Milwaukee, WI 53218-1808
- Phone
- (414) 462-9111
Authorised official
- Name
- Natasha Nicole Blair
- Title
- Lpn
- Phone
- (414) 462-9111
Registered specialties (2)
Alzheimer Center (Dementia Center)
Primary
Custodial Care Facility
Registry record
- NPI
- 1164729877
- Entity type
- Organization
- NPI issued
- 15 Feb 2011
- Record last updated
- 15 Feb 2011
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.