Organization · Type 2 NPI
Jacksonscott2
Pediatric Skilled Nursing Facility · Milwaukee, WI
NPI number
1154869410
Active
Practice location
4573 N. 22nd Street
Milwaukee, WI 53209
Mailing address
4573 N 22nd St
Milwaukee, WI 53209-6309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 317445-31 (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 1154869410
Jacksonscott2's National Provider Identifier is 1154869410, issued on Feb 7, 2017. 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 Feb 7, 2017.