Organization
FMG WEST MITCHELL STREET WISCONSIN LLC
Active
Other names
Mercy Residential & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
2727 W MITCHELL ST, MILWAUKEE, WI 53215-2259
(414) 383-3699
(414) 383-3866
Mailing address
2727 W MITCHELL ST, MILWAUKEE, WI 53215-2259
(414) 383-3699
(414) 383-3866
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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