Organization · Type 2 NPI
Iconicare of Mequon, LLC
Assisted Living Facility · Mequon, WI
NPI number
1780235804
Active
Practice location
6751 W Mequon Rd
Mequon, WI 53092-1836
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.
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About NPI 1780235804
Iconicare of Mequon, LLC's National Provider Identifier is 1780235804, issued on Sep 20, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mequon, WI. The record was last updated on Sep 20, 2019.