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Organization
DOMINICAN SISTERS CORP. ST ANN REST HOME
Active
Organization
DOMINICAN SISTERS CORP. ST ANN REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATARZYNA ANDRZEJEWSKA NHA (ADMINISTRATOR)
(414) 383-2630
Entity
Organization
Contact information
Practice address
2020 S MUSKEGO AVE, MILWAUKEE, WI 53204-3622
(414) 383-2630
(414) 383-0305
Mailing address
2020 S MUSKEGO AVE, MILWAUKEE, WI 53204-3622
(414) 383-2630
(414) 383-0305
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0245
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0245
HOME LICENSE
WI
05
—
20007700
—
WI
Enumeration date
04/18/2007
Last updated
06/25/2008
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