Organization
TP KCB HARBOUR VILLAGE OPCO, LLC
Active
Other names
Harbour Village
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MCCONKIE (MANAGER)
(917) 921-0531
Entity
Organization
Contact information
Practice address
5900 MOCKINGBIRD LN, GREENDALE, WI 53129-1459
(414) 421-9600
Mailing address
2265 E MURRAY HOLLADAY RD, HOLLADAY, UT 84117-5379
(917) 921-0531
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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