Organization
ATHENIAN LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARY YOUNG (ADMINISTRATOR)
(715) 257-2053
Entity
Organization
Contact information
Practice address
716 CAROLINE ST, ATHENS, WI 54411-9386
(715) 257-2053
(715) 257-2056
Mailing address
716 CAROLINE ST, ATHENS, WI 54411-9386
(715) 257-2053
(715) 257-2056
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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