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General NPI Number Information
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NPI Number | 1043191752
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Entity Type | Organization
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Legal Business Name | WEST ALLIS NURSING & REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 9047 W GREENFIELD AVE
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City | WEST ALLIS
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State | WI
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Zip | 53214-2808
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Country | US
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Telephone | 414-453-9290
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Fax | 414-777-7356
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Provider Business Mailing Address
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Address Line | 9047 W GREENFIELD AVE
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City | WEST ALLIS
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State | WI
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Zip | 53214-2808
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Country | US
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Telephone | 414-453-9290
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Fax | 414-777-7356
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Authorized Official
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Title or Position | MANAGER
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Name | WILLIAM ROTHNER
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Credential |
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Telephone | 847-261-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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