Organization · Type 2 NPI

Eternal Adult Family Home LLC

Assisted Living Facility · Sussex, WI

NPI number 1780501650 Active

Practice location

N61W23963 Sumac Ln
Sussex, WI 53089-3720

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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 1780501650

Eternal Adult Family Home LLC's National Provider Identifier is 1780501650, issued on Jul 1, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Sussex, WI. The record was last updated on Jul 1, 2026.