United Care Homes of Wisconsin LLC

NPI #1790036739 in West Bend, Wisconsin

Provider Information

NPI Number
1790036739
Entity Type
Organization
Organization Name
United Care Homes of Wisconsin LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Oct 1, 2012
Last Updated
Oct 1, 2012

Practice Location

Address
338 MUNICIPAL DR
ZIP Code
53095-3510
Phone
(262) 719-2270

Authorized Official

Name
MR. GLEN AL HERMAN
Title
ADMINISTRATOR
Phone
(262) 719-2270

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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