National Provider Identifier Database

FOX RIVER ASSISTED LIVING MEMORY CARE 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

FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC
5800 PENNSYLVANIA AVE
APPLETON, WI54914
Phone: 920-997-0725
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC

NPI Number 1467674507
Legal business name
LBN
FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC
Authorized official JON HARDER - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/02/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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