Organization
ST. CAMILLUS HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK LEE JOHNSON (CEO)
(414) 258-1814
Entity
Organization
Contact information
Practice address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4814
(414) 258-1814
(414) 259-7999
Mailing address
10101 W WISCONSIN AVE, WAUWATOSA, WI 53226-4814
(414) 258-1814
(414) 259-7999
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3074
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20125300
—
WI
Enumeration date
12/13/2006
Last updated
12/30/2024
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