Emerald Shores Assisted Living, LLC
NPI #1760522379 in Kewaunee, Wisconsin
Provider Information
- NPI Number
- 1760522379
- Entity Type
- Organization
- Organization Name
- Emerald Shores Assisted Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MS. KATHERINE RAE TEGEN
- Title
- OWNER
- Phone
- (920) 378-5839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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