| NPI | 1770781247 |
|---|---|
| Doing Business As | PINE VIEW I |
| Entity Type | Organization |
| Authorized Contact | FRED BOYD CEO 414-466-2257 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-16 |