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Jeannette Ponder
Pediatric Skilled Nursing Facility in Milwaukee, Wisconsin
NPI 1356303101

Jeannette Ponder is a Pediatric Skilled Nursing Facility based in Milwaukee, WI and is specialized in Nursing Care, Pediatric. Jeannette Ponder practices in Milwaukee, WI. The NPI Number for Jeannette Ponder is 1356303101 and holds a License No. 11818 (Wisconsin).

The current practice location address for Jeannette Ponder is 3152 N 24Th Pl, Milwaukee, WI and can be reached out via phone at 414-447-1489.

Location: 3152 N 24Th Pl, Milwaukee, WI, 53206-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356303101
Provider Name
Jeannette Ponder
Credential
Provider Entity Type
Organization
Address
3152 N 24Th Pl, Milwaukee, WI, 53206-1209
Phone Number
414-447-1489
Fax Number
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
39973100 05 WI
institution
Provider Business Practice Location Address Details
Address
3152 N 24Th Pl
City
Milwaukee
State
Wisconsin
Zip
53206-1209
Phone Number
414-447-1489
Fax Number
person
Provider Business Mailing Address Details
Address
3152 N 24Th Pl
City
Milwaukee
State
Wisconsin
Zip
53206-1209
Phone Number
414-447-1489
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
11818 (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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