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NPI Code Detail

MEDICARE: MILLWAY CARE AND REHABILITATION, LLC

MEDICARE: MILLWAY CARE AND REHABILITATION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility3231WI

General Provider Information

NPI Number : 1457672081
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLWAY CARE AND REHABILITATION, LLC
Provider Business Mailing Address
First Line : 8534 W MILL RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-1934
Country : US
Telephone Number : 414-353-2300
Fax Number :
Provider Business Practice Location Address
First Line : 8534 W MILL RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-1934
Country : US
Telephone Number : 414-353-2300
Fax Number :
Authorized Official
Title or Position : VP
Name : DAWN M MARSH
Credential :
Telephone Number : 608-225-2516
Provider Enumeration Date : 06/17/2010
Last Update Date : 06/30/2010

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Directions to “MILLWAY CARE AND REHABILITATION, LLC ” Practice Location

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