Palmer Road LLC
NPI #1427874825 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1427874825
- Entity Type
- Organization
- Organization Name
- Palmer Road LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Dec 2, 2024
Practice Location
- Address
- 945 LAKE GENEVA BLVD
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-2443
- Phone
- (262) 903-2624
Authorized Official
- Name
- MARC KLUG
- Title
- PRESIDENT
- Phone
- (262) 903-2624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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