# PRIMARY COMMUNITY LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRIMARY COMMUNITY LIVING LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396613287
- **Authorized official:** IROLE ABDI AAR (OWNER)
- **Authorized official phone:** (920) 420-7202

## Contact information

- **Practice address:** 436 PATRICIA LN, WRIGHTSTOWN, WI 54180-1207
- **Practice address phone:** (920) 420-7202
- **Mailing address:** 436 PATRICIA LN, WRIGHTSTOWN, WI 54180-1207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2279H0200X | Home Health Registered Respiratory Therapist | — | NULL | Yes |
| 2279H0200X | Home Health Registered Respiratory Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2025
- **Last updated:** 10/23/2025