Organization · Type 2 NPI
Johnnie Mae Simmons
Pediatric Skilled Nursing Facility · Milwaukee, WI
NPI number
1023367612
Active
Practice location
4560 N. 40th St,
Milwaukee, WI 53209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 167452 (WI) |
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.
Other pediatric skilled nursing facility providers in Milwaukee
About NPI 1023367612
Johnnie Mae Simmons's National Provider Identifier is 1023367612, issued on Aug 29, 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 Aug 29, 2012.