Five Star Northshore LLC
NPI #1154563435 in Mequon, Wisconsin
Provider Information
- NPI Number
- 1154563435
- Entity Type
- Organization
- Organization Name
- Five Star Northshore LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FIVE STAR NORTHSHORE LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 1, 2009
- Last Updated
- May 13, 2016
Practice Location
Authorized Official
- Name
- BRUCE J. MACKEY JR.
- Title
- PRESIDENT & CHIEF EXECUTIVE OFFICER
- Phone
- (617) 796-8214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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