Organization
EDENBROOK MEADOWS ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM STESEL MANAGER (MANAGER)
(733) 825-3336
Entity
Organization
Contact information
Practice address
154 S PIONEER PKWY, FOND DU LAC, WI 54935-3848
(920) 921-3993
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(177) 382-5333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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