Organization
EMERALD RIDGE 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
130 BYRD AVE, NEENAH, WI 54956-4079
(920) 574-3833
(920) 574-3850
Mailing address
3232 N BALLARD RD, SUITE 202, APPLETON, WI 54911-8804
(920) 574-3833
(920) 574-3850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WI
Other
Enumeration date
09/23/2011
Last updated
05/20/2016
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