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1447018817
STATEWIDE GROUP HOMES LLC
APPLETON, WI
NPI
1447018817
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Entity Type
Organization
Authorized Contact
MOHAMED HASSAN ABDILLAHI
CEO
774-297-0139
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-03-11
Last Update Date
2024-03-11
Business Address
STATEWIDE GROUP HOMES LLC
2412 S GREENVIEW ST
APPLETON, WI 54915-4831
Phone number: 920-214-9159
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Mailing Address
STATEWIDE GROUP HOMES LLC
2412 S GREENVIEW ST
APPLETON, WI 54915-4831
Phone number:
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