Jacksonscott2
Jacksonscott2 is a Pediatric Skilled Nursing Facility in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.
- Licensed in
- WI
- In the registry since
- 2017
Practice location Address checks out
4573 N 22nd StMilwaukee, WI 53209
Phone: (414) 517-2825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Skilled Nursing Facility (primary) | Taxonomy 3140N1450X · Licence 317445-31 (WI) |
|---|
Record details
| NPI number | 1154869410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Latasha Jackson — Lpn · (414) 517-2825 |
| NPI enumerated | February 7, 2017 |
| Last updated in NPPES | February 7, 2017 |
| Mailing address | 4573 N 22nd St, Milwaukee, WI 53209-6309 |
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