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:
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:
3553 S 41ST ST MILWAUKEE, WI 53221 US
Tel: 414-649-0730 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WI | 0010944 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
FAMILY CARE | 91121 | WI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin