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General NPI Number Information
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NPI Number | 1497788186
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Entity Type | Organization
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Legal Business Name | WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3200 S 20TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53215-4442
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Country | US
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Telephone | 414-389-3200
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Fax | 414-389-3300
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Provider Business Mailing Address
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Address Line | 3200 S 20TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53215-4442
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Country | US
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Telephone | 414-389-3200
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Fax | 414-389-3300
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Authorized Official
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Title or Position | CEO
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Name | ERIN SHADBOLT
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Credential |
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Telephone | 314-729-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 3147
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License Number State | WI
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