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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