Organization
PLATINUM COMMUNITIES - SCT LLC
Active
Other names
Willow View
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TERESINSKI (MANAGING DIRECTOR)
(414) 940-6608
Entity
Organization
Contact information
Practice address
3553 S 41ST ST, MILWAUKEE, WI 53221-1024
(414) 649-0730
(414) 831-1188
Mailing address
2448 S 102ND ST STE 305, WEST ALLIS, WI 53227-2141
(414) 940-6608
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018003
WISCONSIN DHS
WI
Enumeration date
04/22/2020
Last updated
04/22/2020
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