Organization
BEAVER DAM ASSISTED LIVING, LLC
Active
Other names
Beaver Dam Assisted Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA ANN BITTNER (COO)
(920) 378-1913
Entity
Organization
Contact information
Practice address
104 FAKES CT, BEAVER DAM, WI 53916-2699
(920) 356-9818
Mailing address
5555 W GRANDE MARKET DR STE A, APPLETON, WI 54913-8170
(920) 574-3833
(920) 574-3850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
05/31/2019
Last updated
07/03/2020
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