Organization Name: | AURORA HEALTH CARE METRO, INC. |
NPI Number: | 1134432578 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID EAGER (VP) |
Mailing Address: | 5900 S Lake Dr Cudahy |
State: | WI US |
Postal Code: | 531103171 |
Phone Number: | 4144894100 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |