Destani's Child Medical Day Care Provider, INC
NPI #1013275775 in Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1013275775
- Entity Type
- Organization
- Organization Name
- Destani's Child Medical Day Care Provider, INC
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- May 1, 2012
- Last Updated
- May 1, 2012
Practice Location
Authorized Official
- Name
- MRS. JANICE M GORDEN, R.N.
- Title
- ADMINISTRATOR
- Phone
- (414) 217-2495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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