NPI 1417271628

Carrington Manor Assisted Living of Green Bay, LLC

Organisation Assisted Living Facility Appleton, WI

Practice location

Address: W3124 van Roy Rd, Appleton, WI 54915-3982
Phone: (920) 574-3833
Fax: (920) 574-3850
Mailing address: 2626 Finger Rd, Green Bay, WI 54302-4821

Authorised official

Name: Katherine R Tegen
Title: Manager
Phone: (920) 378-5839

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1417271628
Entity type: Organization
NPI issued: 16 Mar 2010
Record last updated: 16 Mar 2010

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.