Individual provider · Type 1 NPI
Breanna Marie McMullen
Adult Care Home Facility · Lancaster, WI
NPI number
1083563878
Active
Practice location
12218 County Road K
Lancaster, WI 53813-9552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 0021531 (WI) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1083563878
Breanna Marie McMullen's National Provider Identifier is 1083563878, issued on Jan 24, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lancaster, WI. The record was last updated on Jan 24, 2026.