Organization
GUARDIAN MANOR L.L.C.
Active
Other names
Guardian Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA LE MAY RN (CLINICAL COORDINATOR)
(414) 469-0100
Entity
Organization
Contact information
Practice address
6709 W CHAMBERS ST, MILWAUKEE, WI 53210-1332
(414) 469-0100
(866) 480-8397
Mailing address
PMB 181, 3900 W. BROWN DEER RD, BROWN DEER, WI 53209
(414) 469-0100
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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