Provider Demographics
NPI:1396951695
Name:ANGEL'S TOUCH ASSISTED LIVING, LLC
Entity type:Organization
Organization Name:ANGEL'S TOUCH ASSISTED LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STEINFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:920-339-0601
Mailing Address - Street 1:1550 ARCADIAN LN
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-8267
Mailing Address - Country:US
Mailing Address - Phone:920-339-0601
Mailing Address - Fax:920-339-0615
Practice Address - Street 1:1550 ARCADIAN LN
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-8267
Practice Address - Country:US
Practice Address - Phone:920-339-0601
Practice Address - Fax:920-339-0615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI310400000X, 311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)