Organization
EASTCASTLE PLACE, INC.
Active
Other names
Eastcastle Place Bradford Terrace Convalescent Center, Milwaukee Protestant Home, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A O'DONNELL (CHAIRMAN)
(414) 588-4828
Entity
Organization
Contact information
Practice address
2429 E BRADFORD AVE, MILWAUKEE, WI 53211-4100
(414) 963-6151
(414) 332-3440
Mailing address
2505 E BRADFORD AVE., MILWAUKEE, WI 53211
(414) 963-8481
(414) 332-3440
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
0069
WI
314000000X
Skilled Nursing Facility
Primary
1032
WI
Other
Enumeration date
12/01/2005
Last updated
07/16/2019
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