| NPI | 1265090559 |
|---|---|
| Doing Business As | BEAVER DAM ASSISTED LIVING AND MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN BITTNER COO 920-378-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-07-03 |