Heartland-Pewauke of Waukesha Wi LLC
NPI #1770530891 in Waukesha, Wisconsin
Provider Information
- NPI Number
- 1770530891
- Entity Type
- Organization
- Organization Name
- Heartland-Pewauke of Waukesha Wi LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 27, 2006
- Last Updated
- Feb 26, 2016
Practice Location
Authorized Official
- Name
- MR. MARTIN D ALLEN
- Title
- DIRECTOR
- Phone
- (419) 252-5734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Andriy Bereshnyy | |
| Kari Lynn Hart, OTR |
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| Provider Name | |
|---|---|
| Snh Wis Tenant LLC Part of Snh Wis Tenant LLC | |
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