UNITED LUTHERAN PROGRAM FOR THE AGING, INC.
Alzheimer Center
Milwaukee, Wisconsin
Provider NPI: 1639339518
Organization Information:Organization Name: UNITED LUTHERAN PROGRAM FOR THE AGING, INC.
Practice Location:
4545 N 92ND ST MILWAUKEE, WI 53225 US
Tel: 414-464-3880 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4545 N 92ND ST MILWAUKEE, WI 53225 US
Tel: 414-464-3880 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | WI | 0934 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WI | 0934 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
20134000 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin