National Provider Identifier Database

PROVINCE TERRACE VILLAS LONG CT LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

PROVINCE TERRACE VILLAS LONG CT. LLC
5216 LONG COURT
APPLETON, WI54914
Phone: 920-257-2573
Fax: 920-882-0295
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for PROVINCE TERRACE VILLAS LONG CT. LLC

NPI Number 1427387661
Legal business name
LBN
PROVINCE TERRACE VILLAS LONG CT. LLC
Authorized official ROXANNE REEVES - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 12/17/2009
Last updated 12/17/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 0012777

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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