Organization · Type 2 NPI

The Manor of Fond Du Lac LLC

Assisted Living Facility · Fond Du Lac, WI

NPI number 1477217669 Active

Practice location

517 E Division St
Fond Du Lac, WI 54935-3735

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

8 other providers at this address

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NPI record

NPI: 1477217669
Entity type: Organization (Type 2)
Issued: Oct 25, 2021
Last updated: Jun 4, 2026
Status: Active

Other names

<unavail>
Avina Living On Division · doing business as
Avina On Division · doing business as
Majestic Manor · other name
Majestic Manor · other name

Authorized official

Aaron Topper
Owner
(847) 983-4860

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About NPI 1477217669

The Manor of Fond Du Lac LLC's National Provider Identifier is 1477217669, issued on Oct 25, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jun 4, 2026.