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ACACIA MENTAL HEALTH NPI 1700125622


NPI Information

NPI: 1700125622
Provider Name: ACACIA MENTAL HEALTH
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
6040 W LISBON AVE
MILWAUKEE, WI
ZIP 53210
Phone: (414) 871-9111
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ACACIA MENTAL HEALTH is an intermediate care facility mental illness in Milwaukee, WI. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. ACACIA MENTAL HEALTH NPI is 1700125622. The provider is registered as an organization entity type.

The provider's business location address is:

6040 W LISBON AVE
MILWAUKEE, WI
ZIP 53210-116
Phone: (414) 871-9111

The provider's authorized official is Lisa Joy Stallman .
The authorized official title is Registered Nurse and has the following contact phone number (414) 737-0280.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310500000XIntermediate Care Facility, Mental Illness168390-030WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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