Organization
HEARTLAND-PEWAUKE OF WAUKESHA WI LLC
Active
Other names
ManorCare Health Services-Pewaukee
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
N26W23977 WATERTOWN RD, WAUKESHA, WI 53188-1006
(262) 523-0933
(262) 523-1674
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5734
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3248
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20199600
—
WI
Enumeration date
05/27/2006
Last updated
02/26/2016
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