institution
Province Terrace Villas Long Ct. Llc
Assisted Living Facility in Appleton, Wisconsin
NPI 1427387661

Province Terrace Villas Long Ct. Llc is an Assisted Living Facility based in Appleton, WI. Province Terrace Villas Long Ct. Llc practices in Appleton, WI. The NPI Number for Province Terrace Villas Long Ct. Llc is 1427387661 and holds a License No. 0012777 (Wisconsin).

The current practice location address for Province Terrace Villas Long Ct. Llc is 5216 Long Court, Appleton, WI and can be reached out via phone at 920-257-2573 and via fax at 920-882-0295. You can also correspond with Province Terrace Villas Long Ct. Llc through the mailing address at 5216 LONG CT, APPLETON, WI - 54914-9111 (mailing address contact number: 920-257-2573).

Location: 5216 Long Court, Appleton, WI, 54914-9111
institution
Provider Profile Details
NPI Number
1427387661
Provider Name
Province Terrace Villas Long Ct. Llc
Credential
Provider Entity Type
Organization
Address
5216 Long Court, Appleton, WI, 54914-9111
Phone Number
920-257-2573
Fax Number
920-882-0295
Provider Enumeration Date
12/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5216 Long Court
City
State
Zip
54914
Phone Number
920-257-2573
Fax Number
920-882-0295
person
Provider Business Mailing Address Details
Address
5216 Long Court
City
State
Zip
54914
Phone Number
920-257-2573
Fax Number
920-882-0295
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
0012777 (Wisconsin)
Definition
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.
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