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Chp Shorewood Wi Tenant Corp
Assisted Living Facility in Shorewood, Wisconsin
NPI 1164965257

Chp Shorewood Wi Tenant Corp is an Assisted Living Facility based in Vero Beach, WI. Chp Shorewood Wi Tenant Corp practices in Shorewood, WI. The NPI Number for Chp Shorewood Wi Tenant Corp is 1164965257 and holds a License No. 0015905 (Wisconsin).

The current practice location address for Chp Shorewood Wi Tenant Corp is 1111 E Capitol Dr, Shorewood, WI and can be reached out via phone at 414-436-0311 and via fax at 414-436-0312.

Location: 1111 E Capitol Dr, Shorewood, WI, 32963-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164965257
Provider Name
Chp Shorewood Wi Tenant Corp
Credential
Provider Entity Type
Organization
Address
1111 E Capitol Dr, Shorewood, WI, 32963-2310
Phone Number
414-436-0311
Fax Number
414-436-0312
Provider Enumeration Date
11/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 E Capitol Dr
City
Shorewood
State
Wisconsin
Zip
53211-1810
Phone Number
414-436-0311
Fax Number
414-436-0312
person
Provider Business Mailing Address Details
Address
1111 E Capitol Dr
City
Shorewood
State
Wisconsin
Zip
53211-1810
Phone Number
414-436-0311
Fax Number
414-436-0312
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
0015905 (Wisconsin)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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