Organization · Type 2 NPI
CHP Shorewood Wi Tenant Corp
Assisted Living Facility · Shorewood, WI
NPI number
1164965257
Active
Practice location
1111 E Capitol Dr
Shorewood, WI 53211-1810
Fax (414) 436-0312
Mailing address
1440 Highway A1A
Vero Beach, FL 32963-2310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 0015905 (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
About NPI 1164965257
CHP Shorewood Wi Tenant Corp's National Provider Identifier is 1164965257, issued on Nov 22, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Shorewood, WI. The record was last updated on Nov 22, 2016.