Beaver Dam Assisted Living, LLC
NPI #1265090559 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1265090559
- Entity Type
- Organization
- Organization Name
- Beaver Dam Assisted Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 31, 2019
- Last Updated
- Jul 3, 2020
Practice Location
- Address
- 104 FAKES CT
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2699
- Phone
- (920) 356-9818
Authorized Official
- Name
- MISS BARBARA ANN BITTNER
- Title
- COO
- Phone
- (920) 378-1913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
| Assisted Living Facility |
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