Pine View Living, Inc.

NPI #1952501892 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1952501892
Entity Type: Organization
Organization Name: Pine View Living, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4525 N 76TH ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53218-5342
Phone: (608) 846-9316

Authorized Official

Name: MR. FRED BOYD
Title: CEO
Phone: (608) 846-9316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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