institution
Jacksonscott2
Pediatric Skilled Nursing Facility in Milwaukee, Wisconsin
NPI 1154869410

Jacksonscott2 is a Pediatric Skilled Nursing Facility based in Milwaukee, WI and is specialized in Nursing Care, Pediatric. Jacksonscott2 practices in Milwaukee, WI. The NPI Number for Jacksonscott2 is 1154869410 and holds a License No. 317445-31 (Wisconsin).

The current practice location address for Jacksonscott2 is 4573 N. 22Nd Street, Milwaukee, WI and can be reached out via phone at 414-517-2825. You can also correspond with Jacksonscott2 through the mailing address at 4573 N 22ND ST, MILWAUKEE, WI - 53209-6309 (mailing address contact number: 414-517-2825).

Location: 4573 N. 22Nd Street, Milwaukee, WI, 53209-6309
institution
Provider Profile Details
NPI Number
1154869410
Provider Name
Jacksonscott2
Credential
Provider Entity Type
Organization
Address
4573 N. 22Nd Street, Milwaukee, WI, 53209-6309
Phone Number
414-517-2825
Fax Number
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4573 N. 22Nd Street
City
State
Zip
53209
Phone Number
414-517-2825
Fax Number
person
Provider Business Mailing Address Details
Address
4573 N. 22Nd Street
City
State
Zip
53209
Phone Number
414-517-2825
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
License No.
317445-31 (Wisconsin)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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