Organization
GREENBRIAR APARTMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALE PARKER (GENERAL MANAGER)
(562) 234-5739
Entity
Organization
Contact information
Practice address
1350 JEFFERSON ST, BARABOO, WI 53913-1795
(608) 356-9213
(608) 356-1859
Mailing address
PO BOX 185, MANHATTAN BEACH, CA 90267-0185
(562) 234-5739
(818) 748-6269
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013806
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013806
D.H.S.
WI
Enumeration date
11/18/2013
Last updated
11/18/2013
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