Organization
WEST BEND OPS, LLC
Active
Other names
Lighthouse of West Bend
Organization subpart
No
Provider details
NPI number
Authorized official
TINA DUVAL (CONTROLLER)
(952) 241-8202
Entity
Organization
Contact information
Practice address
2130 CONTINENTAL DR, WEST BEND, WI 53095-7904
(262) 338-0092
Mailing address
2130 CONTINENTAL DR, WEST BEND, WI 53095-7904
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013625
WI
Other
Enumeration date
09/28/2012
Last updated
03/19/2014
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