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Organization

SACRED HEART REHABILITATION INSTITUTE, INC.

Active
Other names
Ascension Sacred Heart Rehabilitation Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MCCULLOUGH (CFO)
(414) 465-3736
Entity
Organization

Contact information

Practice address
13111 N PORT WASHINGTON RD FL 2, MEQUON, WI 53097-2416
(414) 585-6884
Mailing address
PO BOX 773446, CHICAGO, IL 60677-3446
(414) 585-6884

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
165
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11020000
WI
Enumeration date
12/19/2006
Last updated
12/30/2024
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