Organization
EMERALD VALLEY ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE R. TEGEN (OWNER)
(920) 378-5839
Entity
Organization
Contact information
Practice address
200 W VALLEY RD, APPLETON, WI 54915-6263
(920) 378-5839
(920) 968-7582
Mailing address
200 W VALLEY RD, APPLETON, WI 54915-6263
(920) 378-5839
(920) 968-7582
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WI
Other
Enumeration date
05/13/2007
Last updated
08/22/2020
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