Organization
SUN PRAIRIE OSL OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYLA HARWOOD (COO)
(239) 292-1513
Entity
Organization
Contact information
Practice address
650 BROADWAY DR, SUN PRAIRIE, WI 53590-1762
(239) 292-1513
Mailing address
12811 KENWOOD LN STE 218, FORT MYERS, FL 33907-5645
(239) 292-1513
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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