Organization
MEQUON JEWISH CAMPUS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FISCUS (ADMINISTRATOR)
(262) 478-1501
Entity
Organization
Contact information
Practice address
10995 N MARKET ST, MEQUON, WI 53092-4952
(262) 478-1500
(262) 478-0355
Mailing address
1414 N PROSPECT AVE, MILWAUKEE, WI 53202-3018
(262) 478-1500
(262) 478-0355
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5017
WI
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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