| NPI | 1275130403 |
|---|---|
| Former Legal Business Name | MANOR CARE OF APPLETON |
| Doing Business As | MEADOWBROOK AT APPLETON |
| Entity Type | Organization |
| Authorized Contact | ROSTISLAV PUKSHANSKY CEO 847-842-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2022-02-03 |