Cooperleaf Management Group

NPI #1336667526 in Ripon, Wisconsin

Provider Information

NPI Number: 1336667526
Entity Type: Organization
Organization Name: Cooperleaf Management Group
Subpart: Yes (part of a larger organization)
Parent Organization: COPERLEAF MANAGEMENT GROUP
Primary Specialty: Assisted Living Facility
Enumeration Date: Sep 7, 2017
Last Updated: Sep 11, 2017

Practice Location

Address: 1002 EUREKA STREET
City: Ripon
State: Wisconsin
ZIP Code: 54971
Phone: (920) 896-0440

Authorized Official

Name: KRISTA MENDYKE
Title: PRESIDENT/FOUNDER
Phone: (715) 254-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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