Organization
CAMEO NURSING HOME, LLC
Active
Other names
Autumn Lake Healthcare at Greenfield
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(877) 567-0402
Entity
Organization
Contact information
Practice address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
(414) 282-1300
Mailing address
14C 53RD ST STE 220, BROOKLYN, NY 11232-2644
(877) 567-0402
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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