Beacon Specialized Living Wisconsin Inc.
NPI #1861237349 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1861237349
- Entity Type
- Organization
- Organization Name
- Beacon Specialized Living Wisconsin Inc.
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Jun 27, 2024
- Last Updated
- Jun 27, 2024
Practice Location
- Address
- 703 N WISCONSIN ST
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074-1647
- Phone
- (262) 235-4130
Authorized Official
- Name
- MR. ROBERT LONGO
- Title
- EXECUTIVE VICE PRESIDENT OF OPERATI
- Phone
- (630) 258-8638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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