Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Tudor Oaks Retirement
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA R KOTZ (DIRECTOR OF RESIDENT RECEIVABLES)
(402) 639-3008
Entity
Organization
Contact information
Practice address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150-4039
(414) 529-0100
(414) 529-0537
Mailing address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150-4039
(414) 529-0100
(414) 529-0537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20113200
—
WI
Enumeration date
10/06/2005
Last updated
05/23/2019
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