Organization
ELITE SENIOR LIVING - MILWAUKEE, LLC
Active
Other names
BEL AIR CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN HERATY (MANAGING MEMBER)
(866) 350-9320
Entity
Organization
Contact information
Practice address
9350 W FOND DU LAC AVE, MILWAUKEE, WI 53225-1714
(866) 350-9320
(866) 843-0885
Mailing address
9350 W FOND DU LAC AVE, MILWAUKEE, WI 53225-1714
(866) 350-9320
(866) 843-0885
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
11/07/2007
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