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Beaver Dam Al Operations LLC — NPI 1790497907, Beaver Dam, WI | NPI Central

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NPI 1790497907

OrganizationActive

Beaver Dam Al Operations LLC

NPI 1790497907 · Assisted Living Facility · Beaver Dam, WI

Provider details

NPI number: 1790497907
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Anya Vistman, Gc(773) 825-3336

Specialties & taxonomies

Assisted Living FacilityPrimary310400000X
Nursing & Custodial Care Facilities

Practice location

104 Fakes Ct

Beaver Dam, WI 53916-2699

Phone: (773) 825-3336

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

8170 Mccormick Blvd Ste 112

Skokie, IL 60076-2914

Additional practice locations (1)

129 Evergreen Cir
Beaver Dam, WI 53916-3512
Phone: (773) 825-3336

Registry dates

Enumerated: 2022-12-19
Last updated: 2022-12-19
Certified: 2022-12-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.