NPI 1275817306

Emeritus Corporation

Organisation Assisted Living Facility Appleton, WI

Practice location

Address: 5800 Pennsylvania Ave, Appleton, WI 54914-7557
Phone: (920) 997-0725
Mailing address: 6737 W Washington St Suite 2300, Milwaukee, WI 53214-5647

Authorised official

Name: Mark Ohlendorf
Title: President/Ceo
Phone: (414) 918-5403

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0013372 (WI)

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Registry record

NPI: 1275817306
Entity type: Organization
NPI issued: 7 Oct 2011
Record last updated: 14 May 2015

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.