Organization
OSL IOLA OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE HAGEN (DIRECTOR OF OPERATIONS)
(414) 324-5172
Entity
Organization
Contact information
Practice address
505 W IOLA ST, IOLA, WI 54945-9136
(715) 445-4440
(715) 445-2743
Mailing address
2448 S 102ND ST STE 305, WEST ALLIS, WI 53227-2141
(414) 214-8991
(262) 364-2794
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
07/23/2024
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