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General NPI Number Information
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NPI Number | 1821964305
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Entity Type | Organization
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Legal Business Name | MILWAUKEE CATHOLIC HOME, INC.
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 2457 BROWNS LAKE DR
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City | BURLINGTON
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State | WI
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Zip | 53105-7113
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Country | US
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Telephone | 715-269-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 N PROSPECT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53211-4455
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Country | US
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Telephone | 414-220-4610
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JESSICA HORNING
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Credential |
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Telephone | 414-220-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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