Kenneth J & Marilyn M Secor

NPI #1578754511 in Kewaunee, Wisconsin

Provider Information

NPI Number
1578754511
Entity Type
Organization
Organization Name
Kenneth J & Marilyn M Secor
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 6, 2007
Last Updated
Aug 6, 2007

Practice Location

Address
1204 FOURTH ST
ZIP Code
54216
Phone
(920) 388-0110

Authorized Official

Name
MR. KENNETH J SECOR
Title
OWNER
Phone
(920) 388-0110

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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