NPI 1306029152

Compassion Care for the Elderly

Organisation Exclusive Provider Organization Milwaukee, WI

Practice location

Address: 4621 N 66th St, Milwaukee, WI 53218-4821
Phone: (414) 466-3372
Fax: (414) 393-1606
Mailing address: 4621 N 66th Street, Milwaukee, WI 53218

Authorised official

Name: Ramona Dalane Walker
Title: RN Administrator
Phone: (414) 466-3372

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 145791-030 (WI)

Other Exclusive Provider Organization providers in Wisconsin →

Registry record

NPI: 1306029152
Entity type: Organization
NPI issued: 14 Dec 2007
Record last updated: 19 Aug 2008

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.