Organization
ST. CLARE TERRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS FERGER (MANAGEMENT REPRESENTATIVE)
(414) 546-7330
Entity
Organization
Contact information
Practice address
3553 S 41ST ST, MILWAUKEE, WI 53221-1024
(414) 649-0730
(414) 649-0740
Mailing address
3553 S 41ST ST, MILWAUKEE, WI 53221-1024
(414) 649-0730
(414) 649-0740
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0010944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91121
FAMILY CARE
WI
Enumeration date
08/20/2006
Last updated
08/22/2020
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