Organization · Type 2 NPI

Kenneth J & Marilyn M Secor

Assisted Living Facility · Kewaunee, WI

NPI number 1952592065 Active

Practice location

1310 Lincoln St
Kewaunee, WI 54216-1606

Fax (920) 388-2202

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X410310 (WI)

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.

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About NPI 1952592065

Kenneth J & Marilyn M Secor's National Provider Identifier is 1952592065, issued on Aug 5, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kewaunee, WI. The record was last updated on Aug 5, 2007.