| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1164005732 | GLENDALE CARE AND REHAB CENTER LLC | 6263 N GREEN BAY AVE | GLENDALE | WI | 532093823 | |||
| 1801898127 | PROMINENT HEALTH CARE INC | 6263 N GREEN BAY AVE | GLENDALE | WI | 532093823 | |||
| 1679912794 | SOBCZAK | JACOB | ANDREW | 6263 N GREEN BAY AVE | MILWAUKEE | WI | 532093823 |