Larson House Platinum LLC
NPI #1811517642 in Columbus, Wisconsin
Provider Information
- NPI Number
- 1811517642
- Entity Type
- Organization
- Organization Name
- Larson House Platinum LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 22, 2020
- Last Updated
- Apr 22, 2020
Practice Location
Authorized Official
- Name
- JOHN TERESINSKI
- Title
- MANAGING DIRECTOR
- Phone
- (414) 940-6608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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