Wickshire Madison Opco LLC

NPI #1114566510 in Madison, Wisconsin

Provider Information

NPI Number: 1114566510
Entity Type: Organization
Organization Name: Wickshire Madison Opco LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jan 2, 2020
Last Updated: Jan 2, 2020

Practice Location

Address: 1601 WHEELER RD
City: Madison
State: Wisconsin
ZIP Code: 53704
Phone: (608) 807-4212

Authorized Official

Name: MR. DANIEL OKEEFE, JD
Title: CEO
Phone: (212) 300-1283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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