Organization
OSL 505 SHEBOYGAN OPERATING LLC
Active
Parent organization
OSL PLATINUM MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSL PLATINUM MANAGEMENT LLC
Authorized official
MATT TERESINSKI (VP)
(414) 324-5172
Entity
Organization
Contact information
Practice address
505 S WATER ST, SHEBOYGAN, WI 53081-4429
(920) 451-6923
(920) 451-1140
Mailing address
2448 S 102ND ST STE 305, WEST ALLIS, WI 53227-2141
(414) 214-8950
(414) 755-1315
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/31/2023
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