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Organization

ENCORE WISCONSIN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS OSTROM (PRESIDENT)
(312) 462-4462
Entity
Organization

Contact information

Practice address
1660 HOFFMAN RD, GREEN BAY, WI 54311-6299
(312) 623-0884
(312) 284-8896
Mailing address
230 W MONROE ST STE 710, CHICAGO, IL 60606-4702
(312) 623-0884

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/01/2026
Last updated
04/01/2026
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