NPI 1760127237

Ripon Copperleaf Al Operations LLC

Organisation Assisted Living Facility Ripon, WI

Practice location

Address: 1002 Eureka St, Ripon, WI 54971-1141
Phone: (920) 896-0440
Mailing address: 8170 McCormick Blvd STE 112, Skokie, IL 60076-2914

Authorised official

Name: Maxim Stesel
Title: Manager
Phone: (773) 825-3336

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1760127237
Entity type: Organization
NPI issued: 29 Apr 2022
Record last updated: 29 Apr 2022

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.