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COUNTY OF MILWAUKEE

Intermediate Care Facility, Mentally Retarded

Milwaukee, Wisconsin

Provider NPI: 1396823415

Organization Information:
Organization Name:  COUNTY OF MILWAUKEE


Practice Location:
9455 W WATERTOWN PLANK RD  MILWAUKEE, WI 53226 US
Tel: 414-257-6995  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
20163300WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS WI - Page 1



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