Five Star Quality Care Wi LLC
NPI #1770538134 in Pewaukee, Wisconsin
Provider Information
- NPI Number
- 1770538134
- 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 24, 2006
- Last Updated
- Apr 22, 2016
Practice Location
Authorized Official
- Name
- BRUCE J. MACKEY JR.
- Title
- PRESIDENT & CHIEF EXECUTIVE OFFICER
- Phone
- (617) 796-8214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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