Organization
PINNACLE ASSISTED LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILDO JOSE GORNIAK (OWNER, CFO)
(920) 397-2944
Entity
Organization
Contact information
Practice address
1008 W BLACKHAWK DR, FORT ATKINSON, WI 53538-1025
(920) 397-2944
Mailing address
146 S CHURCH ST, WHITEWATER, WI 53190-1950
(920) 397-2944
(262) 458-2422
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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