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Organization
UNITED CARE HOMES OF WISCONSIN LLC
Active
Organization
UNITED CARE HOMES OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN AL HERMAN (ADMINISTRATOR)
(262) 719-2270
Entity
Organization
Contact information
Practice address
338 MUNICIPAL DR, WEST BEND, WI 53095-3510
(262) 719-2270
Mailing address
338 MUNICIPAL DR, WEST BEND, WI 53095-3510
(262) 719-2270
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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