Organization
REGENCY TERRACE SOUTH INC
Active
Other names
Care-Age of Brookfield
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN F. BARTZ RN BSN (DIRECTOR OF NURSING)
(262) 821-3939
Entity
Organization
Contact information
Practice address
1755 N BARKER RD, BROOKFIELD, WI 53045-1801
(262) 821-3939
(262) 821-3944
Mailing address
1755 N BARKER RD, BROOKFIELD, WI 53045-1801
(262) 821-3939
(262) 821-3944
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20173600
—
WI
Enumeration date
11/02/2005
Last updated
08/22/2020
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