Organization · Type 2 NPI

ST Ann Center for Intergenerational Care Inc

Health Service Clinic/Center · Milwaukee, WI

NPI number 1144796988 Active

Practice location

2450 W North Ave
Milwaukee, WI 53205-1001

Fax (414) 210-2434

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

4 other providers at this address

St. Ann Center for Intergenerational CarePublic Health or Welfare Agency Milwaukee, WI NPI 1841667466
Laura Cherek-LaabsDental Hygienist Milwaukee, WI NPI 1982075719
Stephanie Ghojallu, APNPFamily Nurse Practitioner Milwaukee, WI NPI 1356797393
Zenobia Lashawn Davis, RDHDental Hygienist Milwaukee, WI NPI 1386146264

Other health service clinic/center providers in Milwaukee

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NPI record

NPI: 1144796988
Entity type: Organization (Type 2)
Issued: Oct 19, 2018
Last updated: Oct 19, 2018
Status: Active
Subpart: Yes of ST Ann Center for Intergenerational Care Inc

Other names

St. Ann Center Medical Clinic - Bucyrus · doing business as

Authorized official

Mr. Temidayo I Akande
CFO
(414) 977-5004

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144796988

ST Ann Center for Intergenerational Care Inc's National Provider Identifier is 1144796988, issued on Oct 19, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 19, 2018.