NPI 1326654534

Praitie Assisted Living INC.

Organisation Assisted Living Facility Ripon, WI

Practice location

Address: 749 E Oshkosh St, Ripon, WI 54971-1258
Phone: (920) 748-8900

Authorised official

Name: Jeremiah Grothe
Title: Ceo
Phone: (920) 748-8900

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Wisconsin →

Registry record

NPI: 1326654534
Entity type: Organization
NPI issued: 22 Sep 2020
Record last updated: 22 Sep 2020

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.