- Enrollment id
- O20210303002560
- Enrollment state
- WI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1386245728
- Multiple npi flag
- N
- Ccn
- 525490
- Associate id
- 4385050061
- Organization name
- ARIA OF WAUKESHA LLC
- Doing business as name
- ARIA OF WAUKESHA
- Incorporation date
- 2020-07-13
- Incorporation state
- IL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ARIA OF WAUKESHA
- Address line 1
- 1451 CLEVELAND AVE
- City
- WAUKESHA
- State
- WI
- Zip code
- 531863876