Organization
SUN PRAIRIE OPS, LLC
Active
Other names
New Perspective - Sun Prairie
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NOVACZYK (PRESIDENT & CFO)
(952) 241-8204
Entity
Organization
Contact information
Practice address
222 S BRISTOL ST, SUN PRAIRIE, WI 53590-2933
(608) 825-1600
(608) 825-2120
Mailing address
7625 GOLDEN TRIANGLE DR STE T, EDEN PRAIRIE, MN 55344-3700
(952) 241-8211
(952) 241-8232
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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