NPI 1194130732

Senior Care Assisted Living LLC

Organisation Assisted Living Facility West Bend, WI

Practice location

Address: 831 E Washington St, West Bend, WI 53095-2625
Phone: (262) 335-1992
Fax: (262) 335-9499
Mailing address: 3232 N Ballard Rd Suite 202 Appleton, Appleton, WI 54911-8804

Authorised official

Name: Barbara Bittner
Title: Manager
Phone: (920) 378-1913

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1194130732
Entity type: Organization
NPI issued: 23 Jun 2014
Record last updated: 23 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.