Organization
SCAL OF HOBART, LLC
Active
Other names
Emerald Ridge Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE R. TEGEN (MANAGER)
(920) 378-1913
Entity
Organization
Contact information
Practice address
650 CENTENNIAL CENTRE BLVD, HOBART, WI 54155-8989
(920) 544-5041
(920) 544-0857
Mailing address
3232 N BALLARD RD, SUITE 202, APPLETON, WI 54911-8804
(920) 574-3833
(920) 574-3850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WI
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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