Organization
LCS GREENDALE LLC
Active
Other names
Harbour Village 'Harbour House (The)'
Organization subpart
No
Provider details
NPI number
Authorized official
GELYNNA SHAW (SVP)
(615) 394-2187
Entity
Organization
Contact information
Practice address
5900 MOCKINGBIRD LN, GREENDALE, WI 53129-1459
(414) 982-4097
(414) 421-9603
Mailing address
5900 MOCKINGBIRD LN, GREENDALE, WI 53129-1459
(414) 982-4097
(414) 421-9603
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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