MISSION CREEK SENIOR CARE LLC NPI 1144805847

NPI Information

MISSION CREEK SENIOR CARE LLC is an assisted living facility in Waukesha, WI. The provider is 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. MISSION CREEK SENIOR CARE LLC NPI is 1144805847. The provider is registered as an organization entity type.

The provider's business location address is:

3217 FIDDLERS CREEK DR
WAUKESHA, WI
ZIP 53188-946
Phone: (262) 832-1020

The provider's authorized official is Anya Vistman .
The authorized official title is Counsel and has the following contact phone number (773) 819-2190.

The CLIA number assigned to this NPI record is 52D2010293 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2021 and was last updated on 3/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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