Organization
COUNTRYSIDE ACRES ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA JO STADLER LPN (ADMINISTRATOR)
(715) 866-4411
Entity
Organization
Contact information
Practice address
5788 COUNTY ROAD C, WEBSTER, WI 54893-8719
(715) 866-4411
(715) 866-4469
Mailing address
5788 COUNTY ROAD C, WEBSTER, WI 54893-8719
(715) 866-4411
(715) 866-4469
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013811
WI
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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