St Aemilian Lakeside Inc

LBN: St Aemilian Lakeside Inc
St Aemilian Lakeside Inc is an health care organization with primary practice located at 8901 W Capitol Dr , Milwaukee WI 53222-1706. The organization recently has only one registered license in Agencies / Foster Care Agency, which is considered as the primary health care specialty. St Aemilian Lakeside Inc can be contacted via phone (414) 463-1880, or through Kirby, Amy M via phone (414) 463-1880.

Contact Information

Primary practice address
8901 W Capitol Dr Milwaukee WI 53222-1706
Fax: (414) 463-2770
Website:
Authorized official contact:
Name: Kirby, Amy M MSW LCSW

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 6949-123 Wisconsin

Profile Details

NPI number 1609043165
LBN Legal business name St Aemilian Lakeside Inc
DBA Doing business as
Authorized official Kirby, Amy M MSW LCSW
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 16 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 1609043165 NPPES
Wisconsin Other 6949-123 STATE OF WISCONSIN CLINICAL SOCIAL WORK LICENSE

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