Organization
COOPERLEAF MANAGEMENT GROUP
Active
Parent organization
COPERLEAF MANAGEMENT GROUP
Other names
Copperleaf Village of Ripon
Organization subpart
Yes
Provider details
NPI number
Legal business name
COPERLEAF MANAGEMENT GROUP
Authorized official
KRISTA MENDYKE (PRESIDENT/FOUNDER)
(715) 254-4357
Entity
Organization
Contact information
Practice address
1002 EUREKA STREET, RIPON, WI 54971
(920) 896-0440
(920) 896-0306
Mailing address
1077 WILSHIRE BLVD, STEVENS POINT, WI 54481
(715) 254-4357
(715) 343-8863
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0015270
WI
Other
Enumeration date
09/07/2017
Last updated
09/11/2017
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