Organization
SAMARITAN FIELDS RCAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB JEIDEL (SOLE MEMBER)
(917) 750-5089
Entity
Organization
Contact information
Practice address
531 E WASHINGTON ST, WEST BEND, WI 53095-2531
(262) 335-4500
Mailing address
531 E WASHINGTON ST, WEST BEND, WI 53095-2531
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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