Organization · Type 2 NPI
Independent Nurse
Adult Care Home Facility · Hales Corners, WI
NPI number
1245209196
Active
Practice location
11226 W Janesville Rd
Hales Corners, WI 53130-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 33596031 (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.
Another provider at this address
Other adult care home facility providers in Hales Corners
About NPI 1245209196
Independent Nurse's National Provider Identifier is 1245209196, issued on Mar 14, 2006. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Hales Corners, WI. The record was last updated on Aug 22, 2020.