Organization
SPRINGBROOK COMMUNITY ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN E SIMONSON (OWNER)
(608) 630-9535
Entity
Organization
Contact information
Practice address
861 CRITTER CT, ONALASKA, WI 54650-8689
(608) 783-2292
Mailing address
861 CRITTER CT, ONALASKA, WI 54650-8689
(608) 783-2292
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0011819
WI
3104A0625X
Assisted Living Facility (Mental Illness)
0013768
WI
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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