Organization
ASSISTED LIVING CONCEPTS INC
Active
Other names
Annabelle House
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER A LEVONOWICH (VICE PRESIDENT CONTROLLER)
(262) 250-4500
Entity
Organization
Contact information
Practice address
917 USTICK ROAD, CALDWELL, ID 83605
(208) 455-2324
(208) 455-3371
Mailing address
W140 N8981 LILLY ROAD, ATTN LEGAL DEPARTMENT, MENOMONEE FALLS, WI 53051-2325
(262) 250-4500
(262) 251-7633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC576
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8056988
—
ID
Enumeration date
09/07/2007
Last updated
09/07/2007
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