Organization · Type 2 NPI

Pine Crest Village LLC

Assisted Living Facility · Sturgeon Bay, WI

NPI number 1851582597 Active

Practice location

1241 N 18th Ave
Sturgeon Bay, WI 54235-3535

Fax (920) 746-9404

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X10344 (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.

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About NPI 1851582597

Pine Crest Village LLC's National Provider Identifier is 1851582597, issued on Aug 7, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Sturgeon Bay, WI. The record was last updated on Aug 7, 2007.