Organization
PH MILWAUKEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KLEIN (MANAGING MEMBER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
6800 N 76TH ST, MILWAUKEE, WI 53223-5002
(414) 353-5000
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
06/06/2011
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