Organization
DYCORA TRANSITIONAL HEALTH - MILWAUKEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(414) 228-8700
Entity
Organization
Contact information
Practice address
1616 W BENDER RD, GLENDALE, WI 53209-3802
(414) 228-8700
Mailing address
1616 W BENDER RD, GLENDALE, WI 53209-3802
(414) 228-8700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3178
WI
Other
Enumeration date
10/21/2016
Last updated
01/25/2018
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