Organization
CARESHARE ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNN ROEGNER (ADMINSITRATIVE SECRETARY)
(262) 644-8035
Entity
Organization
Contact information
Practice address
2630 N 118TH ST, WAUWATOSA, WI 53226-1132
(262) 644-8035
(262) 644-9604
Mailing address
5726 DEBBIE LN, WEST BEND, WI 53095-9134
(262) 644-8035
(262) 644-9604
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0009059
WI
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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