Organization · Type 2 NPI

PDN

Skilled Nursing Facility · South Milwaukee, WI

NPI number 1588055107 Active

Practice location

708 Hawthorne Ave Uppr
South Milwaukee, WI 53172-1734

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X16513630 (WI)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1588055107

PDN's National Provider Identifier is 1588055107, issued on Feb 18, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in South Milwaukee, WI. The record was last updated on Feb 18, 2015.