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PROMINENT HEALTH CARE INC

Skilled Nursing Facility

Glendale, Wisconsin

Provider NPI: 1801898127

Organization Information:
Organization Name:  PROMINENT HEALTH CARE INC


Practice Location:
6263 N GREEN BAY AVE  GLENDALE, WI 53209 US
Tel: 414-351-0543  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
WI3218

Other Provider Identifiers:

IssuerNumberStateType
20190700WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS WI - Page 1