Moltke Place, Llc

LBN: Moltke Place
Moltke Place, Llc is an health care organization with primary practice located at 6741 W Moltke Ave , Milwaukee WI 53210-1354. The organization recently has only one registered license in Other Service Providers / Lodging, which is considered as the primary health care specialty. Moltke Place can be contacted via phone (414) 739-2105, or through Woods, Mary via phone (414) 739-2105.

Contact Information

Primary practice address
6741 W Moltke Ave Milwaukee WI 53210-1354
Phone: (414) 739-2105
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woods, Mary MSM
Phone: (414) 739-2105

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X

Profile Details

NPI number 1215427612
LBN Legal business name Moltke Place
DBA Doing business as Moltke Place, Llc
Authorized official Woods, Mary MSM
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2018
Last updated May 11th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215427612 NPPES
Wisconsin MEDICAID 1295134567

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