Organization · Type 2 NPI
Larson House Platinum LLC
Assisted Living Facility · Columbus, WI
NPI number
1811517642
Active
Practice location
550 River Rd
Columbus, WI 53925-1721
Fax (920) 623-5255
Mailing address
2448 S 102nd St Ste 305
West Allis, WI 53227-2141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
Another provider at this address
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About NPI 1811517642
Larson House Platinum LLC's National Provider Identifier is 1811517642, issued on Apr 22, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Columbus, WI. The record was last updated on Apr 22, 2020.