Crown Point Village, LLC
NPI #1043462021 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1043462021
- Entity Type
- Organization
- Organization Name
- Crown Point Village, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 21, 2008
- Last Updated
- Oct 21, 2008
Practice Location
- Address
- 881 LIBERTY BOULEVARD
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590
- Phone
- (608) 834-2073
Authorized Official
- Name
- ROBERT DONALD SIMONSON
- Title
- EXECUTIVE MANAGER
- Phone
- (608) 318-1180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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