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General NPI Number Information
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NPI Number | 1013784511
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Entity Type | Organization
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Legal Business Name | PARKERS MANOR OF CARE HEALTH SERVICES
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 6815 W CAPITOL DR STE 107
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City | MILWAUKEE
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State | WI
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Zip | 53216-2056
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Country | US
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Telephone | 414-460-8207
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Fax | 414-455-3777
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Provider Business Mailing Address
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Address Line | 6815 W CAPITOL DR STE 107
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City | MILWAUKEE
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State | WI
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Zip | 53216-2056
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Country | US
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Telephone | 414-460-8207
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Fax | 414-455-3777
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Authorized Official
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Title or Position | OWNER
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Name | MAKALIA PARKER
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Credential |
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Telephone | 414-202-0378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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