| NPI | 1225652225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A BITTNER Manager 920-378-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-07-03 |