Organization · Type 2 NPI
Genesis Adult Family Home LLC
Mental Illness Intermediate Care Facility · Mequon, WI
NPI number
1831974955
Active
Practice location
3315 W Burgundy Ct
Mequon, WI 53092-5202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Care Agency | 251J00000X | None listed |
| Mental Illness Intermediate Care Facility Primary | 310500000X | None listed |
| Nursing Facility/Intermediate Care Facility | 313M00000X | None listed |
| Pediatric Skilled Nursing Facility | 3140N1450X | None listed |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Another provider at this address
About NPI 1831974955
Genesis Adult Family Home LLC's National Provider Identifier is 1831974955, issued on Aug 28, 2023. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Mequon, WI. The record was last updated on Aug 28, 2023.