Pine View Living, INC.
Assisted Living Facility in Milwaukee, WI. Organization (NPI-2).
NPI number1861692709
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861692709
- Entity type
- Organization (NPI-2)
- Legal business name
- Pine View Living, INC.
- Organization subpart
- No
- Enumeration date
- Jul 19, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Pine View Of Sun Prairie (Doing Business As)
Practice location
4525 N 76th StMilwaukee, WI 53218-5342
Phone 414-466-2257 · Fax 414-466-0919
Mailing address
605 Wood Violet LnSun Prairie, WI 53590-3301
Phone 608-837-6018 · Fax 608-834-1518
Authorized official
Fred Boyd
Ceo
6088376018
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