Senior Community Center Management of Waupun, LLC

NPI #1588817365 in Waupun, Wisconsin

Provider Information

NPI Number
1588817365
Entity Type
Organization
Organization Name
Senior Community Center Management of Waupun, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 24, 2008
Last Updated
Oct 24, 2008

Practice Location

Address
450 E FRANKLIN STREET
City
Waupun
ZIP Code
53963
Phone
(920) 324-9900

Authorized Official

Name
ROBERT SIMONSON
Title
EXECUTIVE MANAGER/OWNER
Phone
(608) 318-1180

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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