Organization
OUR HOUSE SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE HEIL (COO)
(608) 819-2220
Entity
Organization
Contact information
Practice address
1574 W. BROADWAY,, SUITE 200, MADISON, WI 53713
(608) 819-2200
Mailing address
1574 W. BROADWAY,, SUITE 200, MADISON, WI 53713
(608) 819-2200
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0625X
MN
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
3104A0625X
WI
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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