Organization
THE VILLA AT MILLWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ISRAEL (MANAGER)
(847) 692-1152
Entity
Organization
Contact information
Practice address
8534 W MILL RD, MILWAUKEE, WI 53225-1934
(414) 358-2090
Mailing address
6400 SHAFER CT, SUITE 700, ROSEMONT, IL 60018-4914
(847) 692-1152
(847) 692-1001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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