Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
163WG0600X |
| NPI Number | 1962366245 |
| LBN Legal business name | HOMESTEAD HEIGHTS OF NEW BERLIN |
| Authorized official | DAVE WENGERD - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/11/2025 |
| Last updated | 12/11/2025 - About 6 months ago |
| Identifiers | n/a |
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