- Enrollment id
- O20260330001105
- Enrollment state
- WI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1043191752
- Multiple npi flag
- N
- Ccn
- 525108
- Associate id
- 6709361629
- Organization name
- WEST ALLIS NURSING & REHABILITATION CENTER, LLC
- Doing business as name
- RESOLVE AT WEST ALLIS RESPIRATORY AND REHAB
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- RESOLVE AT WEST ALLIS RESPIRATORY AND REHAB
- Address line 1
- 9047 W GREENFIELD AVE
- City
- WEST ALLIS
- State
- WI
- Zip code
- 532142808