Pine Crest Village Llc in Sturgeon Bay - Assisted Living Facility
Pine Crest Village Llc - NPI 1851582597
Pine Crest Village Llc is a Assisted Living Facility in Sturgeon Bay, Wisconsin. Pine Crest Village Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Pine Crest Village Llc is 1851582597. The last update date is 2007-08-07.
Pine Crest Village Llc's current location address is 1241 N 18th Ave, Sturgeon Bay, Wisconsin. You can contact this provider via phone number 9207461280 and fax number 9207469404. The mailing address for Pine Crest Village Llc is 1241 N 18th Ave, Sturgeon Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Crest Village Llc |
|---|---|
| Address | 1241 N 18th Ave, Sturgeon Bay, Wisconsin |
| Phone Number | 9207461280 |
| Fax Number | 9207469404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FACILITY M |
|---|---|
| Authorized Official Name | May A Amber |
| Telephone Number | 9207461280 |
NPI Number Detail
| NPI Number | 1851582597 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2007-08-07 |
Provider Mailing Address Detail
| Address | 1241 N 18th Ave |
|---|---|
| City | Sturgeon Bay |
| State | Wisconsin (WI) |
| Post Code | 542353535 |
| Phone Number | 9207461280 |
| Fax Number | 9207469404 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 10344 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the unique 10-digit identifier code issued to Pine Crest Village Llc by the Centers for Medicare & Medicaid Services?
The Pine Crest Village Llc has been assigned the NPI (National Provider Identifier) 1851582597 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Pine Crest Village Llc is physically located?
The Pine Crest Village Llc is physically situated at the following address: 1241 N 18Th Ave, Sturgeon Bay, WI, 542353535.
What is Pine Crest Village Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pine Crest Village Llc is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.
On what date was the 1851582597 assigned to Pine Crest Village Llc?
The Pine Crest Village Llc was issued its 1851582597 on 2007-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Pine Crest Village Llc's information last updated?
The Pine Crest Village Llc's information was last updated on 2007-08-07.
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