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ST. CLARE TERRACE

Assisted Living Facility

Milwaukee, Wisconsin

Provider NPI: 1053426874

Organization Information:
Organization Name:  ST. CLARE TERRACE


Practice Location:
3553 S 41ST ST  MILWAUKEE, WI 53221 US
Tel: 414-649-0730  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
WI0010944

Other Provider Identifiers:

IssuerNumberStateType
FAMILY CARE91121WI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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