Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI FREISINGER (AREA DIRECTOR)
(414) 531-5226
Entity
Organization
Contact information
Practice address
660 WOELFEL RD, BROOKFIELD, WI 53045-2927
(262) 577-0225
Mailing address
3212 W MOUNT VERNON AVE, MILWAUKEE, WI 53208-4130
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4264-26
WI
Other
Enumeration date
04/11/2013
Last updated
02/04/2016
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