Provider First Line Business Practice Location Address:
1020 N 12TH ST,
Provider Second Line Business Practice Location Address:
AURORA HEALTH CARE CENTER FOR SENIOR HEALTH & LONGEVITY
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53201-0342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-219-7300
Provider Business Practice Location Address Fax Number:
414-219-7632
Provider Enumeration Date:
01/31/2006