Organization
INDEPENDENT NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CASANDRA P MORRIS RN (REGISTERED NURSE)
(414) 937-0412
Entity
Organization
Contact information
Practice address
143 E PINE HOLLOW LN APT 1, OAK CREEK, WI 53154-7714
(414) 937-0412
Mailing address
143 E PINE HOLLOW LN APT 1, OAK CREEK, WI 53154-7714
(414) 937-0412
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
22107330
WI
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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