Organization
PROMINENT HEALTH CARE INC
Active
Other names
Seven Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE NAVIN (ADMINSTRATOR)
(414) 351-0543
Entity
Organization
Contact information
Practice address
6263 N GREEN BAY AVE, GLENDALE, WI 53209-3823
(414) 351-0543
(414) 351-7977
Mailing address
6263 N GREEN BAY AVE, GLENDALE, WI 53209-3823
(414) 351-0543
(414) 351-7977
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3218
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20190700
—
WI
Enumeration date
06/01/2005
Last updated
08/22/2020
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