NPI 1487609178

Five Star Quality Care Wi LLC

Organisation Skilled Nursing Facility Brookfield, WI

Practice location

Address: 18740 West Bluemound Road, Brookfield, WI 53045-2936
Phone: (262) 782-0230
Fax: (262) 797-8306

Authorised official

Name: Katherine E Potter
Title: President & Chief Executive Officer
Phone: (617) 796-8387

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 3050 (WI)

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Registry record

NPI: 1487609178
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 27 Mar 2019

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.