Provider First Line Business Practice Location Address:
1414 N. PROSPECT AVE THERAPY DEPARTMENT
Provider Second Line Business Practice Location Address:
JEWISH HOME & CARE CENTER
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53202-3018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-277-8846
Provider Business Practice Location Address Fax Number:
414-277-8803
Provider Enumeration Date:
12/07/2017