County of Ozaukee

NPI #1427055920 in Cedarburg, Wisconsin

Provider Information

NPI Number
1427055920
Entity Type
Organization
Organization Name
County of Ozaukee
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 30, 2005
Last Updated
Feb 2, 2023

Practice Location

Address
W76 N677 WAUWATOSA RD
ZIP Code
53012-1707
Phone
(262) 512-2844

Authorized Official

Name
MR. RALPH G LUEDTKE, NH ADMINISTRATOR
Title
NH ADMINISTRATOR
Phone
(262) 512-2844

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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