NPI 1487654935

Benevolent Corporation Cedar Community

Organisation Assisted Living Facility West Bend, WI

Practice location

Address: 5555 Cedar Bay, West Bend, WI 53095-7602
Phone: (262) 306-2130
Fax: (262) 306-2131

Authorised official

Name: Joseph T Pichler
Title: Vice President of Finance
Phone: (262) 306-4212

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence CERTIFICATION# 022 (WI)

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Registry record

NPI: 1487654935
Entity type: Organization
NPI issued: 27 Jul 2005
Record last updated: 9 May 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.