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Organization

KENNETH J & MARILYN M SECOR

Active
Other names
Silver Leaf Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH J SECOR (OWNER)
(920) 388-2204
Entity
Organization

Contact information

Practice address
1310 LINCOLN ST, KEWAUNEE, WI 54216-1606
(920) 388-2204
(920) 388-2202
Mailing address
1310 LINCOLN ST, KEWAUNEE, WI 54216-1606
(920) 388-2204
(920) 388-2202

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
410310
WI

Other

Enumeration date
08/05/2007
Last updated
08/05/2007
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