NPI 1790036739

United Care Homes of Wisconsin LLC

Organisation Intellectual Disabilities Intermediate Care Facility West Bend, WI

Practice location

Address: 338 Municipal Dr, West Bend, WI 53095-3510
Phone: (262) 719-2270

Authorised official

Name: Glen Al Herman
Title: Administrator
Phone: (262) 719-2270

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Wisconsin →

Registry record

NPI: 1790036739
Entity type: Organization
NPI issued: 1 Oct 2012
Record last updated: 1 Oct 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.