Organization
PINE CREST VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER A MAY (FACILITY MANAGER)
(920) 746-1280
Entity
Organization
Contact information
Practice address
1241 N 18TH AVE, STURGEON BAY, WI 54235-3535
(920) 746-1280
(920) 746-9404
Mailing address
1241 N 18TH AVE, STURGEON BAY, WI 54235-3535
(920) 746-1280
(920) 746-9404
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10344
WI
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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