Organization
OSL WR OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE HAGEN LPN (DIRECTOR OF OPERATIONS)
(414) 324-5172
Entity
Organization
Contact information
Practice address
830 HIGH ST, WILD ROSE, WI 54984-6829
(920) 622-4141
(920) 622-3877
Mailing address
2448 S 102ND ST STE 305, WEST ALLIS, WI 53227-2141
(414) 214-8950
(414) 755-1315
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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