Rustic Manor Homes, LLC
NPI #1205628062 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1205628062
- Entity Type
- Organization
- Organization Name
- Rustic Manor Homes, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- May 19, 2025
- Last Updated
- May 19, 2025
Practice Location
- Address
- 2904 S CHICAGO AVE
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-3134
- Phone
- (262) 353-1910
Authorized Official
- Name
- CYNTHIA SIMPSON
- Title
- DIRECTOR
- Phone
- (262) 353-1910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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