NPI 1558409227

Countryview Group Homes LLC

Organisation Lodging Provider Germantown, WI

Practice location

Address: N112w12850 Mequon Rd, Germantown, WI 53022-3624
Phone: (262) 512-1177
Fax: (262) 512-9404
Mailing address: 1538 W Liebau Rd, Mequon, WI 53092-2621

Authorised official

Name: Ruth Kantrowitz
Title: Administrator
Phone: (262) 243-5515

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

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Registry record

NPI: 1558409227
Entity type: Organization
NPI issued: 2 Feb 2007
Record last updated: 24 Oct 2007

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.