Countryview Group Homes LLC

NPI #1558409227 in Germantown, Wisconsin

Provider Information

NPI Number: 1558409227
Entity Type: Organization
Organization Name: Countryview Group Homes LLC
Primary Specialty: Lodging
Enumeration Date: Feb 2, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: N112W12850 MEQUON RD
City: Germantown
State: Wisconsin
ZIP Code: 53022-3624
Phone: (262) 512-1177

Authorized Official

Name: MRS. RUTH KANTROWITZ
Title: ADMINISTRATOR
Phone: (262) 243-5515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X	Primary

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