Organization
WICKSHIRE MADISON OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL OKEEFE JD (CEO)
(212) 300-1283
Entity
Organization
Contact information
Practice address
1601 WHEELER RD, MADISON, WI 53704
(608) 807-4212
(608) 249-1776
Mailing address
750 OLD HICKORY BLVD, BUILDING ONE SUITE 125, BRENTWOOD, TN 37027
(615) 942-0240
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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