Sun Prairie Ops, LLC
NPI #1154806602 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1154806602
- Entity Type
- Organization
- Organization Name
- Sun Prairie Ops, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 1, 2018
- Last Updated
- Oct 1, 2018
Practice Location
- Address
- 222 S BRISTOL ST
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-2933
- Phone
- (608) 825-1600
Authorized Official
- Name
- RYAN NOVACZYK
- Title
- PRESIDENT & CFO
- Phone
- (952) 241-8204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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