Iconicare Fort Atkinson, LLC
NPI #1336790450 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1336790450
- Entity Type
- Organization
- Organization Name
- Iconicare Fort Atkinson, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 20, 2019
- Last Updated
- Sep 20, 2019
Practice Location
- Address
- 737 REENA AVE
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-3108
- Phone
- (920) 542-1521
Authorized Official
- Name
- TRICIA LIES
- Title
- DIRECTOR OF FINANCIAL SERVICES
- Phone
- (952) 888-2923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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