Provider Demographics
NPI:1518356468
Name:WISCONSIN NAZARENE COMPASSIONATE CENTER, INC.
Entity Type:Organization
Organization Name:WISCONSIN NAZARENE COMPASSIONATE CENTER, INC.
Other - Org Name:WNCC/ PROJECT H.E.A.T.
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-342-5959
Mailing Address - Street 1:2904 W WELLS ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-4805
Mailing Address - Country:US
Mailing Address - Phone:414-342-5959
Mailing Address - Fax:414-342-1384
Practice Address - Street 1:2904 W WELLS ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-4805
Practice Address - Country:US
Practice Address - Phone:414-342-5959
Practice Address - Fax:414-342-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable