FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC; NPI #1467674507

Contact Information

FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC

5800 PENNSYLVANIA AVE
APPLETON, WI 54914

Phone: 920-997-0725
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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

NPI Number	`1467674507`
LBN Legal business name	FOX RIVER ASSISTED LIVING & MEMORY CARE, LLC
Authorized official	JON HARDER - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/02/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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