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Larson House Platinum Llc
Assisted Living Facility in Columbus, Wisconsin
NPI 1811517642

Larson House Platinum Llc is an Assisted Living Facility based in West Allis, WI. Larson House Platinum Llc practices in Columbus, WI. The NPI Number for Larson House Platinum Llc is 1811517642 and holds a License No. (Wisconsin).

The current practice location address for Larson House Platinum Llc is 550 River Rd, Columbus, WI and can be reached out via phone at 920-623-5253 and via fax at 920-623-5255.

Location: 550 River Rd, Columbus, WI, 53227-2141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811517642
Provider Name
Larson House Platinum Llc
Credential
Provider Entity Type
Organization
Address
550 River Rd, Columbus, WI, 53227-2141
Phone Number
920-623-5253
Fax Number
920-623-5255
Provider Enumeration Date
04/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0016818 01 WI WISCNSIN DHS
0015679 01 WI WISCONSIN DHS
institution
Provider Business Practice Location Address Details
Address
550 River Rd
City
Columbus
State
Wisconsin
Zip
53925-1721
Phone Number
920-623-5253
Fax Number
920-623-5255
person
Provider Business Mailing Address Details
Address
550 River Rd
City
Columbus
State
Wisconsin
Zip
53925-1721
Phone Number
920-623-5253
Fax Number
920-623-5255
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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