Organization
PLEASANTVILLE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MARTIN (PRESIDENT)
(414) 759-6059
Entity
Organization
Contact information
Practice address
4125 N 70TH ST, MILWAUKEE, WI 53216-1163
(414) 616-1290
(414) 616-1749
Mailing address
4125 N 70TH ST, MILWAUKEE, WI 53216-1163
(414) 616-1290
(414) 616-1749
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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