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Organization

OSL 3950 RACINE OPERATING LLC

Active
Parent organization
OSL PLATINUM MANAGEMENT LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OSL PLATINUM MANAGEMENT LLC
Authorized official
MATT TERESINSKI (VP)
(414) 324-5172
Entity
Organization

Contact information

Practice address
3950 N MAIN ST, RACINE, WI 53402-3683
(262) 639-1100
(262) 833-0370
Mailing address
2448 S 102ND ST, WEST ALLIS, WI 53227-2466
(414) 214-8950
(141) 755-1315

Taxonomy

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

Other

Enumeration date
08/30/2023
Last updated
08/31/2023
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