NPI 1336667526

Cooperleaf Management Group

Organisation Assisted Living Facility Ripon, WI

Practice location

Address: 1002 Eureka Street, Ripon, WI 54971
Phone: (920) 896-0440
Fax: (920) 896-0306
Mailing address: 1077 Wilshire Blvd, Stevens Point, WI 54481

Authorised official

Name: Krista Mendyke
Title: President/Founder
Phone: (715) 254-4357

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0015270 (WI)

Other Assisted Living Facility providers in Wisconsin →

Registry record

NPI: 1336667526
Entity type: Organization
NPI issued: 7 Sep 2017
Record last updated: 11 Sep 2017

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.