Organization
BEL AIR OPERATING COMPANY, LLC
Active
Other names
Bel Air Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELGA WANTSCHIK (ADMINISTRATOR)
(859) 255-0075
Entity
Organization
Contact information
Practice address
9350 W FOND DU LAC AVE, MILWAUKEE, WI 53225-1714
(414) 438-4360
(414) 434-3622
Mailing address
9350 W FOND DU LAC AVE, MILWAUKEE, WI 53225-1714
(414) 438-4360
(414) 464-3622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2821
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20195100
—
WI
Enumeration date
09/19/2005
Last updated
06/06/2008
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