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Organization

ST ANN CENTER FOR INTERGENERATIONAL CARE INC

Active
Other names
St. Ann Center
Organization subpart
No

Provider details

NPI number
Authorized official
EDNA LONERGAN (PRESIDENT)
(414) 977-5000
Entity
Organization

Contact information

Practice address
2801 E MORGAN AVE, MILWAUKEE, WI 53207-3771
(414) 977-5000
(414) 977-5050
Mailing address
2801 E MORGAN AVE, MILWAUKEE, WI 53207-3771
(414) 977-5000

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
7033-031
WI
225X00000X
Occupational Therapist
685-026
WI
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41812200
WI
Enumeration date
08/09/2005
Last updated
03/03/2021
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