Organization
ST ANN CENTER FOR INTERGENERATIONAL CARE INC
Active
Parent organization
ST ANN CENTER FOR INTERGENERATIONAL CARE INC
Other names
St. Ann Center Medical Clinic - Bucyrus
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST ANN CENTER FOR INTERGENERATIONAL CARE INC
Authorized official
MR. TEMIDAYO I AKANDE (CFO)
(414) 977-5004
Entity
Organization
Contact information
Practice address
2450 W NORTH AVE, MILWAUKEE, WI 53205-1001
(414) 210-2450
(414) 210-2434
Mailing address
2450 W NORTH AVE, MILWAUKEE, WI 53205-1001
(414) 210-2450
(414) 210-2434
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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