Organization
MILLWAY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA CAROL ROOP (DIRECTOR OF REIMBURSEMENT)
(863) 324-4739
Entity
Organization
Contact information
Practice address
8534 W MILL RD, MILWAUKEE, WI 53225-1934
(414) 353-2300
(414) 353-2727
Mailing address
8534 W MILL RD, MILWAUKEE, WI 53225-1934
(414) 353-2300
(414) 353-2727
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3231
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20180200
—
WI
01
—
5048560001
DME
WI
Enumeration date
06/30/2005
Last updated
01/31/2008
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