Organization · Type 2 NPI

Destani's Child Medical Day Care Provider, Inc

Pediatric Skilled Nursing Facility · Milwaukee, WI

NPI number 1013275775 Active

Practice location

3062 N 58th St, #1
Milwaukee, WI 53210-1545

Fax (414) 445-3893

Specialties and licenses

TaxonomyCodeLicense
Pediatric Skilled Nursing Facility Primary 3140N1450XNone listed

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

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About NPI 1013275775

Destani's Child Medical Day Care Provider, Inc's National Provider Identifier is 1013275775, issued on May 1, 2012. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Milwaukee, WI. The record was last updated on May 1, 2012.