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Organization
PINE VIEW LIVING, INC.
Active
Organization
PINE VIEW LIVING, INC.
Active
Other names
Pine View II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED BOYD (CEO)
(414) 527-4039
Entity
Organization
Contact information
Practice address
4532 N 76TH ST, MILWAUKEE, WI 53218-5341
(414) 527-4039
(414) 466-0919
Mailing address
4532 N 76TH ST, MILWAUKEE, WI 53218-5341
(414) 527-4039
(414) 466-0919
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
07/19/2007
Last updated
08/22/2020
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