Organization
KASTLE COMMUNITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANICE MATTHEWS BSN (REGISTERED NURSE)
(414) 446-5578
Entity
Organization
Contact information
Practice address
7675 N 76TH ST, MILWAUKEE, WI 53223-4017
(414) 751-7772
Mailing address
6051 W BROWN DEER RD STE 105, BROWN DEER, WI 53223-2263
(414) 446-5578
(414) 446-5855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WH1000X
Hospice Registered Nurse
—
—
163WI0600X
Infection Control Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
163WU0100X
Urology Registered Nurse
—
—
163WX0106X
Occupational Health Registered Nurse
—
—
163WX1500X
Ostomy Care Registered Nurse
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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