Organization
CAPITOL LAKES INC.
Active
Other names
Capitol Lakes Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CONROY (EXECUTIVE DIRECTOR)
(608) 621-8062
Entity
Organization
Contact information
Practice address
333 W MAIN ST, MADISON, WI 53703-2777
(608) 283-2141
Mailing address
333 W MAIN ST, MADISON, WI 53703-2777
(608) 283-2141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20124200
—
WI
Enumeration date
01/31/2006
Last updated
12/11/2025
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