Organization · Type 2 NPI
Countryview Group Homes LLC
Lodging Provider · Germantown, WI
NPI number
1558409227
Active
Practice location
N112W12850 Mequon Rd
Germantown, WI 53022-3624
Fax (262) 512-9404
Mailing address
1538 W Liebau Rd
Mequon, WI 53092-2621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Another provider at this address
About NPI 1558409227
Countryview Group Homes LLC's National Provider Identifier is 1558409227, issued on Feb 2, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Germantown, WI. The record was last updated on Oct 24, 2007.