Five Star Quality Care Wi LLC
NPI #1649225392 in Clintonville, Wisconsin
Provider Information
- NPI Number
- 1649225392
- 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
- May 23, 2006
- Last Updated
- May 19, 2008
Practice Location
- Address
- 1625 E MAIN ST
- Address 2
- VILLAGE OF EMBARRASS
- City
- Clintonville
- State
- Wisconsin
- ZIP Code
- 54929-9236
- Phone
- (715) 823-3135
Authorized Official
- Name
- BRUCE J MACKEY JR.
- Title
- CEO
- Phone
- (617) 796-8387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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