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Kenneth J & Marilyn M Secor
Assisted Living Facility in Kewaunee, Wisconsin
NPI 1578754511

Kenneth J & Marilyn M Secor is an Assisted Living Facility based in Kewaunee, WI. Kenneth J & Marilyn M Secor practices in Kewaunee, WI. The NPI Number for Kenneth J & Marilyn M Secor is 1578754511 and holds a License No. 410404 (Wisconsin).

The current practice location address for Kenneth J & Marilyn M Secor is 1204 Fourth St, Kewaunee, WI and can be reached out via phone at 920-388-0110 and via fax at 920-388-2202.

Location: 1204 Fourth St, Kewaunee, WI, 54216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578754511
Provider Name
Kenneth J & Marilyn M Secor
Credential
Provider Entity Type
Organization
Address
1204 Fourth St, Kewaunee, WI, 54216
Phone Number
920-388-0110
Fax Number
920-388-2202
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1204 Fourth St
City
Kewaunee
State
Wisconsin
Zip
54216
Phone Number
920-388-0110
Fax Number
920-388-2202
person
Provider Business Mailing Address Details
Address
1204 Fourth St
City
Kewaunee
State
Wisconsin
Zip
54216
Phone Number
920-388-0110
Fax Number
920-388-2202
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
410404 (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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