Kenneth J & Marilyn M Secor in Kewaunee - Assisted Living Facility

Kenneth J & Marilyn M Secor - NPI 1952592065

Kenneth J & Marilyn M Secor is a Assisted Living Facility in Kewaunee, Wisconsin. Kenneth J & Marilyn M Secor practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Kenneth J & Marilyn M Secor is 1952592065. The last update date is 2007-08-05.

Kenneth J & Marilyn M Secor's current location address is 1310 Lincoln St, Kewaunee, Wisconsin. You can contact this provider via phone number 9203882204 and fax number 9203882202. The mailing address for Kenneth J & Marilyn M Secor is 1310 Lincoln St, Kewaunee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenneth J & Marilyn M Secor
Address 1310 Lincoln St, Kewaunee, Wisconsin
Phone Number 9203882204
Fax Number 9203882202
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Secor J Kenneth
Telephone Number 9203882204

NPI Number Detail

NPI Number 1952592065
Provider Enumeration Date 2007-08-05
Last Updated Date 2007-08-05

Provider Mailing Address Detail

Address 1310 Lincoln St
City Kewaunee
State Wisconsin (WI)
Post Code 542161606
Phone Number 9203882204
Fax Number 9203882202

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 410310
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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FAQs about Kenneth J & Marilyn M Secor

What is the unique 10-digit identification code issued to Kenneth J & Marilyn M Secor by the Centers for Medicare & Medicaid Services?

The Kenneth J & Marilyn M Secor has been assigned the NPI (National Provider Identifier) 1952592065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Kenneth J & Marilyn M Secor's facilities are situated?

The facilities of Kenneth J & Marilyn M Secor are physically located at the following address: 1310 Lincoln St, Kewaunee, WI, 542161606.

What is the Kenneth J & Marilyn M Secor's specialty and taxonomy code?

The Kenneth J & Marilyn M Secor's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.

When did Kenneth J & Marilyn M Secor receive its 1952592065 assignment?

The Kenneth J & Marilyn M Secor was assigned its 1952592065 on 2007-08-05, which is the date when this unique identifier was issued to the organization.

As of what date were the Kenneth J & Marilyn M Secor's details last updated?

The information pertaining to the Kenneth J & Marilyn M Secor, including its address, specialty, and other details, was most recently updated on 2007-08-05.

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