Ccc of Pewaukee LLC

NPI #1578049995 in Waukesha, Wisconsin

Provider Information

NPI Number
1578049995
Entity Type
Organization
Organization Name
Ccc of Pewaukee LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 18, 2018
Last Updated
Aug 19, 2025

Practice Location

Address
N26W23977 WATERTOWN RD
ZIP Code
53188-1006
Phone
(847) 983-4860

Authorized Official

Name
DAVID MERZEL
Title
CFO
Phone
(847) 983-4860

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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