Manor Care Pewaukee

NPI #1548404791 in Waukesha, Wisconsin

Provider Information

NPI Number
1548404791
Entity Type
Organization
Organization Name
Manor Care Pewaukee
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 30, 2009
Last Updated
Apr 30, 2009

Practice Location

Address
N26W23977 WATERTOWN RD
ZIP Code
53188-1006
Phone
(262) 523-0933

Authorized Official

Name
KAELAN CLEONE PIEPER
Title
COTA
Phone
(262) 523-0933

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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