Kettle Park Senior Living INC
NPI #1649821661 in Stoughton, Wisconsin
Provider Information
- NPI Number
- 1649821661
- Entity Type
- Organization
- Organization Name
- Kettle Park Senior Living INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 20, 2019
- Last Updated
- Sep 20, 2019
Practice Location
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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