Organization
PINE VIEW LIVING, INC.
Active
Other names
Pine View of Windsor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED BOYD (CEO)
(608) 846-9316
Entity
Organization
Contact information
Practice address
4525 N 76TH ST, MILWAUKEE, WI 53218-5342
(608) 846-9316
(608) 846-9316
Mailing address
6797 VALIANT DR, WINDSOR, WI 53598-9513
(608) 846-9316
(608) 846-9316
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
08/22/2020
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