# PRECIOUS MINDS ADULT FAMILY HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174261424
- **Authorized official:** CORSICA JAMES (OWNER)
- **Authorized official phone:** (262) 505-3507

## Contact information

- **Practice address:** 716 N BIRD ST, SUN PRAIRIE, WI 53590-1304
- **Practice address phone:** (262) 505-3507
- **Mailing address:** 716 N BIRD ST, SUN PRAIRIE, WI 53590-1304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2022
- **Last updated:** 05/26/2022