Organization
COUNTRYVIEW GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH KANTROWITZ (ADMINISTRATOR)
(262) 243-5515
Entity
Organization
Contact information
Practice address
N112W12850 MEQUON RD, GERMANTOWN, WI 53022-3624
(262) 512-1177
(262) 512-9404
Mailing address
1538 W LIEBAU RD, MEQUON, WI 53092-2621
(262) 243-5515
(262) 243-5516
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
WI
Other
Enumeration date
02/02/2007
Last updated
10/24/2007
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