Organization
MEADOWMERE OAK CREEK MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CARL ROGGE (CHIEF FINANCIAL OFFICER)
(414) 615-7144
Entity
Organization
Contact information
Practice address
701 E PUETZ RD, OAK CREEK, WI 53154-3257
(414) 766-2100
Mailing address
701 E PUETZ RD, OAK CREEK, WI 53154-3257
(414) 766-2100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10340
WI
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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