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NPI Code Detail

MEDICARE: BEL AIR OPERATING COMPANY, LLC

MEDICARE: BEL AIR OPERATING COMPANY, 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 Facility2821WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023003860
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEL AIR OPERATING COMPANY, LLC
Provider Business Mailing Address
First Line : 9350 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-1714
Country : US
Telephone Number : 414-438-4360
Fax Number : 414-464-3622
Provider Business Practice Location Address
First Line : 9350 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-1714
Country : US
Telephone Number : 414-438-4360
Fax Number : 414-434-3622
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. HELGA WANTSCHIK
Credential :
Telephone Number : 859-255-0075
Provider Enumeration Date : 09/19/2005
Last Update Date : 06/06/2008

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Directions to “BEL AIR OPERATING COMPANY, LLC ” Practice Location

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