Organization · Type 2 NPI
Independent Nursing
Pediatric Skilled Nursing Facility · Oak Creek, WI
NPI number
1720450125
Active
Practice location
143 E Pine Hollow Ln Apt 1
Oak Creek, WI 53154-7714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 22107330 (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.
About NPI 1720450125
Independent Nursing's National Provider Identifier is 1720450125, issued on Oct 24, 2015. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Oak Creek, WI. The record was last updated on Oct 24, 2015.