Organization
MADISON WI BG OPCO LLC
Active
Other names
CHEROKEE PARK PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GUILL (AUTHORIZED SIGNATORY)
(312) 725-7000
Entity
Organization
Contact information
Practice address
1601 WHEELER RD, MADISON, WI 53704-7056
(608) 291-4440
(312) 725-7041
Mailing address
330 N WABASH AVE STE 3700, CHICAGO, IL 60611-7605
(312) 725-7041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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