Edenbrook Meadows Assisted Living LLC

NPI #1740922095 in Fond Du Lac, Wisconsin

Provider Information

NPI Number
1740922095
Entity Type
Organization
Organization Name
Edenbrook Meadows Assisted Living LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 8, 2022
Last Updated
Apr 8, 2022

Practice Location

Address
154 S PIONEER PKWY
ZIP Code
54935-3848
Phone
(920) 921-3993

Authorized Official

Name
MAXIM STESEL, MANAGER
Title
MANAGER
Phone
(733) 825-3336

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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