Autumn Oaks Platinum LLC

NPI #1679193429 in Slinger, Wisconsin

Provider Information

NPI Number: 1679193429
Entity Type: Organization
Organization Name: Autumn Oaks Platinum LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Apr 22, 2020
Last Updated: Apr 22, 2020

Practice Location

Address: 227 E WASHINGTON ST
City: Slinger
State: Wisconsin
ZIP Code: 53086-9585
Phone: (262) 644-5926

Authorized Official

Name: JOHN TERESINSKI
Title: MANAGING DIRECTOR
Phone: (414) 940-6608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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