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Organization

BEAVER CREEK OPS, LLC

Active
Other names
New Perspective-Beaver Creek
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN NOVACZYK (PRESIDENT/CFO)
(612) 840-3924
Entity
Organization

Contact information

Practice address
8875 N 60TH ST, BROWN DEER, WI 53223-2269
(952) 746-3630
Mailing address
8875 N 60TH ST, BROWN DEER, WI 53223-2269
(952) 746-3630

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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