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INDEPENDENT NURSE

Adult Care Home

Hales Corners, Wisconsin

Provider NPI: 1245209196

Organization Information:
Organization Name:  INDEPENDENT NURSE


Practice Location:
11226 W JANESVILLE RD  HALES CORNERS, WI 53130 US
Tel: 414-525-0515  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
WI33596031

Other Provider Identifiers:

IssuerNumberStateType
39951400WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS WI - Page 1