NPI 1043410988

Pine View Living, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Milwaukee, WI

Practice location

Address: 4532 N 76th St, Milwaukee, WI 53218-5341
Phone: (414) 527-4039
Fax: (414) 466-0919

Authorised official

Name: Fred Boyd
Title: Ceo
Phone: (414) 527-4039

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Wisconsin →

Registry record

NPI: 1043410988
Entity type: Organization
NPI issued: 19 Jul 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.