Organization
ANASTASIA CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTA NFOR (ADMINISTRATOR)
(952) 239-6466
Entity
Organization
Contact information
Practice address
17620 BOLTER LN, BROOKFIELD, WI 53045-3431
(414) 410-9850
Mailing address
17620 BOLTER LN, BROOKFIELD, WI 53045-3431
(414) 410-9850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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