BEAVER DAM ASSISTED LIVING, LLC is an assisted living facility in Beaver Dam, 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. BEAVER DAM ASSISTED LIVING, LLC NPI is 1265090559. The provider is registered as an organization entity type.
The provider Is Doing Business As Beaver Dam Assisted Living And Memory Care.
The provider's business location address is:
104 FAKES CT
BEAVER DAM, WI
ZIP 53916-699
Phone: (920) 356-9818
The provider's authorized official is Barbara Ann Bittner .
The authorized official title is Coo and has the following contact phone number (920) 378-1913.
The CLIA number assigned to this NPI record is 52D2175793 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/31/2019 and was last updated on 7/3/2020.