Praitie Assisted Living Inc.

NPI #1326654534 in Ripon, Wisconsin

Provider Information

NPI Number
1326654534
Entity Type
Organization
Organization Name
Praitie Assisted Living Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 22, 2020
Last Updated
Sep 22, 2020

Practice Location

Address
749 E OSHKOSH ST
City
Ripon
ZIP Code
54971-1258
Phone
(920) 748-8900

Authorized Official

Name
JEREMIAH GROTHE
Title
CEO
Phone
(920) 748-8900

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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