Edenbrook Meadows Assisted Living Llc

LBN: Edenbrook Meadows Assisted Living Llc
Edenbrook Meadows Assisted Living Llc is an health care organization with primary practice located at 154 S Pioneer Pkwy , Fond Du Lac WI 54935-3848. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Edenbrook Meadows Assisted Living Llc can be contacted via phone (920) 921-3993, or through Stesel, Maxim via phone (733) 825-3336.

Contact Information

Primary practice address
154 S Pioneer Pkwy Fond Du Lac WI 54935-3848
Phone: (920) 921-3993
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stesel, Maxim MANAGER
Phone: (733) 825-3336

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1740922095
LBN Legal business name Edenbrook Meadows Assisted Living Llc
DBA Doing business as
Authorized official Stesel, Maxim MANAGER
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2022
Last updated Apr 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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