MOLTKE PLACE NPI 1215427612

NPI Information

NPI: 1215427612
Provider Name: MOLTKE PLACE

Other Name: MOLTKE PLACE, LLC

Classification: Lodging - 177F00000X
Entity Type: Organization
Address:
6741 W MOLTKE AVE
MILWAUKEE, WI
ZIP 53210
Phone: (414) 739-2105
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MOLTKE PLACE is a lodging in Milwaukee, WI. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. MOLTKE PLACE NPI is 1215427612. The provider is registered as an organization entity type.
The provider Other Name Is Moltke Place, Llc.

The provider's business location address is:

6741 W MOLTKE AVE
MILWAUKEE, WI
ZIP 53210-354
Phone: (414) 739-2105

The provider's authorized official is Mary Woods .
The authorized official title is Director and has the following contact phone number (414) 739-2105.

The enumeration date for this NPI number is 5/11/2018 and was last updated on 5/11/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	177F00000X	Lodging				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1295134567	MEDICAID	WISCONSIN

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: 11/14/2023

NPI Synchronization or Removal

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