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Organization

CAPITOL VIEW AFH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKIE GAILLARD LPN (ADMINISTRATOR)
(414) 915-7499
Entity
Organization

Contact information

Practice address
4019 N 87TH ST, MILWAUKEE, WI 53222-1708
(414) 915-7499
Mailing address
4480 N 85TH ST, MILWAUKEE, WI 53225-5108
(414) 915-7499

Taxonomy

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

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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