Heatherlyn Assisted Living LLC
NPI #1972135838 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1972135838
- Entity Type
- Organization
- Organization Name
- Heatherlyn Assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 9, 2020
- Last Updated
- Feb 9, 2020
Practice Location
- Address
- 811 ROBERT ST
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-1140
- Phone
- (920) 397-1610
Authorized Official
- Name
- JHIENELLE TALETHIA KISTLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (920) 397-1610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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