MARLA VISTA MANOR ASSISTED LIVING OF GREEN BAY, LLC is an assisted living facility in Green Bay, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MARLA VISTA MANOR ASSISTED LIVING OF GREEN BAY, LLC NPI is 1144544354. The provider is registered as an organization entity type.
The provider's business location address is:
1006 N MILITARY AVE
GREEN BAY, WI
ZIP 54303-412
Phone: (920) 499-1119
Fax: (920) 499-1191
The provider's authorized official is Katherine R. Tegen .
The authorized official title is Manager and has the following contact phone number (920) 378-5839.
The CLIA number assigned to this NPI record is 52D1000799 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.