Organization
CMZ GOLDEN YEARS LLC
Active
Other names
Golden Years of Randolph
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JENS (OWNER)
(920) 400-9322
Entity
Organization
Contact information
Practice address
131 ELLIS AVE, RANDOLPH, WI 53956-1309
(920) 326-4663
Mailing address
W11451 COUNTY ROAD CF, RANDOLPH, WI 53956-9626
(920) 400-9322
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
09/11/2023
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