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CARRINGTON MANOR ASSISTED LIVING OF GREEN BAY LLC NPI 1417271628


NPI Information

NPI: 1417271628
Provider Name: CARRINGTON MANOR ASSISTED LIVING OF GREEN BAY, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
W3124 VAN ROY RD
APPLETON, WI
ZIP 54915
Phone: (920) 574-3833
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CARRINGTON MANOR ASSISTED LIVING OF GREEN BAY, LLC is an assisted living facility in Appleton, 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. CARRINGTON MANOR ASSISTED LIVING OF GREEN BAY, LLC NPI is 1417271628. The provider is registered as an organization entity type.

The provider's business location address is:

W3124 VAN ROY RD
APPLETON, WI
ZIP 54915-982
Phone: (920) 574-3833
Fax: (920) 574-3850

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 enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityWISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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