Fmg Menomonee Avenue Wisconsin LLC
NPI #1902295702 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1902295702
- Entity Type
- Organization
- Organization Name
- Fmg Menomonee Avenue Wisconsin LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 16, 2015
- Last Updated
- Jan 16, 2015
Practice Location
- Address
- N84W17049 MENOMONEE AVE
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-2701
- Phone
- (262) 255-1180
Authorized Official
- Name
- DAVID KEATING
- Title
- AUTHORIZED OFFICIAL
- Phone
- (414) 908-8058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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