Five Star Quality Care-Wi, LLC
NPI #1417944612 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1417944612
- 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
- Oct 3, 2005
- Last Updated
- Mar 27, 2019
Practice Location
- Address
- 5301 WEST LINCOLN AVENUE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53219-1652
- Phone
- (414) 615-7200
Authorized Official
- Name
- KATHERINE E POTTER
- Title
- PRESIDENT & CHIEF EXECUTIVE OFFICER
- Phone
- (617) 796-8387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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