Organization
ST. CAMILLUS HEALTH CENTER, INC.
Active
Other names
Camillus Cares Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MUNZEL (CHIEF FINANCIAL OFFICER)
(414) 259-8355
Entity
Organization
Contact information
Practice address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4814
(414) 258-2418
(414) 259-4534
Mailing address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4814
(414) 258-2418
(414) 259-4534
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
148
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407922776
UNITEDHEALTHCARE
WI
05
—
41512800
—
WI
Enumeration date
11/28/2006
Last updated
04/07/2022
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