NPI 1336336635

Assisted Living Concepts INC

Organisation Assisted Living Facility Manitowoc, WI

Practice location

Address: 950 South Rapids Road, Manitowoc, WI 54420
Phone: (920) 684-3996
Fax: (262) 257-8511
Mailing address: W140 N8981 Lilly Road Attn Legal Department, Menomonee Falls, WI 53051-2325

Authorised official

Name: Walter a Levonowich
Title: Vice President Controller
Phone: (262) 257-8888

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1336336635
Entity type: Organization
NPI issued: 1 Oct 2007
Record last updated: 1 Oct 2007

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.