| NPI | 1205643657 |
|---|---|
| Doing Business As | ADULT FAMILY HOME (HOME CARE) |
| Entity Type | Organization |
| Authorized Contact | ALHAGIE JALLOW Director 608-446-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |