Fred & Mamie's Home, Inc

NPI 1740489558 - Assisted Living Facility - 310400000X

NPI Details
NPI 1740489558
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHARON ANN SHARON
Position PRESIDENT/OWNER
Phone (920) 845-5950
Fax
Practice Location
143 SCHOOL CREEK TRL
LUXEMBURG WI, 54217-1095, US
Phone (920) 845-5950
Fax
Business Location
143 SCHOOL CREEK TRL
LUXEMBURG WI, 54217-1095, US
Phone
Fax
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, Fred & Mamie's Home, Inc NPI is 1740489558, taxonomy code is 310400000X Fred & Mamie's Home, Inc physically located at 143 School Creek Trl, Luxemburg WI, 54217-1095. NPI Number 1033115704 has the healthcare provider type.

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1740489558 NPI number is provided on an as is basis without warranty of any kind. 1740489558 is maintained by the National Plan & Provider Enumeration System. The contents of Fred & Mamie's Home, Inc are for informational purposes only.