Extendicare Homes, Inc.
NPI #1740352178 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1740352178
- Entity Type
- Organization
- Organization Name
- Extendicare Homes, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3821 S CHICAGO AVE
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-3712
- Phone
- (414) 762-7336
Authorized Official
- Name
- DONNA JO MAASSEN
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (414) 908-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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