Five Star Quality Care Wi LLC

NPI #1033164124 in Madison, Wisconsin

Provider Information

NPI Number
1033164124
Entity Type
Organization
Organization Name
Five Star Quality Care Wi LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CARE WI LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 24, 2006
Last Updated
May 19, 2008

Practice Location

Address
4325 NAKOMA RD
ZIP Code
53711-3706
Phone
(608) 271-7321

Authorized Official

Name
BRUCE J MACKEY JR.
Title
CEO
Phone
(617) 796-8387

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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