| NPI | 1134426778 |
|---|---|
| Doing Business As | FOND DU LAC ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | MARILYN GROVER Associate Director 218-879-1227 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 349645) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 348710) |
| 310400000X Assisted Living Facility (Licence: MN 25541M) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2016-03-22 |