Organization
PRAITIE ASSISTED LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH GROTHE (CEO)
(920) 748-8900
Entity
Organization
Contact information
Practice address
749 E OSHKOSH ST, RIPON, WI 54971-1258
(920) 748-8900
Mailing address
749 E OSHKOSH ST, RIPON, WI 54971-1258
(920) 748-8900
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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