Organization
HYLAND PARK EAST LLC
Active
Other names
Hyland Park of Sun Prairie
Organization subpart
No
Provider details
NPI number
Authorized official
ANN SIMONSON (PROPERTY MANAGER)
(608) 318-1180
Entity
Organization
Contact information
Practice address
881 LIBERTY BLVD, SUN PRAIRIE, WI 53590-4656
(608) 834-2073
Mailing address
881 LIBERTY BLVD, SUN PRAIRIE, WI 53590-4656
(608) 834-2073
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013255
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013255
WISCONSIN RCAC CERTIFICATION
WI
Enumeration date
06/29/2010
Last updated
06/29/2010
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