Organization · Type 2 NPI
Five Star Northshore LLC
Assisted Living Facility · Mequon, WI
NPI number
1154563435
Active
Practice location
10803 N Port Washington Rd
Mequon, WI 53092-5085
Mailing address
400 Centre St
Newton, MA 02458-2094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 0013000 (WI) |
Assisted Living Facility: 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.
2 other providers at this address
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About NPI 1154563435
Five Star Northshore LLC's National Provider Identifier is 1154563435, issued on Apr 1, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mequon, WI. The record was last updated on May 13, 2016.