Organization
CROWN POINT VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DONALD SIMONSON (EXECUTIVE MANAGER)
(608) 318-1180
Entity
Organization
Contact information
Practice address
881 LIBERTY BOULEVARD, SUN PRAIRIE, WI 53590
(608) 834-2073
(608) 834-2089
Mailing address
PO BOX 1255, SUN PRAIRIE, WI 53590-6255
(608) 318-1180
(608) 318-0878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12519
WI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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