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Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Tudor Oaks Retirement
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA R KOTZ (DIRECTOR OF RESIDENT RECEIVABLES)
(402) 639-3008
Entity
Organization
Contact information
Practice address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150-4039
(414) 529-0100
(414) 529-0537
Mailing address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150-4039
(414) 529-0100
(414) 529-0537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20113200
—
WI
Enumeration date
10/06/2005
Last updated
05/23/2019
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