Organization
CAROLINA MANOR ASSISTED LIVING OF APPLETON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE R TEGEN (MANAGER)
(920) 378-5839
Entity
Organization
Contact information
Practice address
W3124 VAN ROY RD, APPLETON, WI 54915-3982
(920) 574-3833
(920) 574-3850
Mailing address
3201 W 1ST AVE, APPLETON, WI 54914-1131
(920) 738-0118
(920) 738-0641
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WI
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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