Specialized Wound Management Great Lakes, LLC
NPI #1760536387 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1760536387
- Entity Type
- Organization
- Organization Name
- Specialized Wound Management Great Lakes, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5700 W LAYTON AVE
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53220-4016
- Phone
- (414) 281-7201
Authorized Official
- Name
- MR. STEVEN KELLEY
- Title
- CFO
- Phone
- (636) 447-2509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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