NPI | 1861692709 |
---|---|
Doing Business As | PINE VIEW OF SUN PRAIRIE |
Entity Type | Organization |
Authorized Contact | FRED BOYD CEO 608-837-6018 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2007-07-19 |
Last Update Date | 2020-08-22 |