Organization
DOMINICAN SISTERS CORP. ST ANN REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATARZYNA ANDRZEJEWSKA NHA (ADMINISTRATOR)
(414) 383-2630
Entity
Organization
Contact information
Practice address
2020 S MUSKEGO AVE, MILWAUKEE, WI 53204-3622
(414) 383-2630
(414) 383-0305
Mailing address
2020 S MUSKEGO AVE, MILWAUKEE, WI 53204-3622
(414) 383-2630
(414) 383-0305
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0245
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0245
HOME LICENSE
WI
05
—
20007700
—
WI
Enumeration date
04/18/2007
Last updated
06/25/2008
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