Organization
MCFI FISCAL AGENT
Active
Parent organization
MILWAUKEE CENTER FOR INDEPENDENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILWAUKEE CENTER FOR INDEPENDENCE
Authorized official
RICHARD ZALEWSKI (VICE PRESIDENT OF FINANCE)
(414) 937-2222
Entity
Organization
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11772
WPS SBUMITTER PROFILE
WI
Enumeration date
08/10/2007
Last updated
08/26/2008
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