Organization
WISCONSIN MASONIC HOME INC
Active
Parent organization
WISCONSIN MASONIC HOME INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISCONSIN MASONIC HOME INC
Authorized official
MELISSA CURRAN CFO (CFO)
(262) 965-7203
Entity
Organization
Contact information
Practice address
410 N MAIN ST, DOUSMAN, WI 53118-8853
(262) 965-7214
(262) 965-7035
Mailing address
410 N MAIN ST, DOUSMAN, WI 53118-8853
(262) 965-7214
(262) 965-7035
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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