Organization · Type 2 NPI
Iconicare Fort Atkinson, LLC
Assisted Living Facility · Fort Atkinson, WI
NPI number
1336790450
Active
Practice location
737 Reena Ave
Fort Atkinson, WI 53538-3108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
Another provider at this address
Other assisted living facility providers in Fort Atkinson
About NPI 1336790450
Iconicare Fort Atkinson, LLC's National Provider Identifier is 1336790450, issued on Sep 20, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fort Atkinson, WI. The record was last updated on Sep 20, 2019.