Organization
CHP SHOREWOOD WI TENANT CORP
Active
Other names
HarborChase of Shorewood
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MITCHELL (CFO OF MANAGER)
(772) 492-5002
Entity
Organization
Contact information
Practice address
1111 E CAPITOL DR, SHOREWOOD, WI 53211-1810
(414) 436-0311
(414) 436-0312
Mailing address
1440 HIGHWAY A1A, VERO BEACH, FL 32963-2310
(772) 492-5002
(772) 492-5005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0015905
WI
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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