Organization
CHIPPEWA VALLEY CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMAL A MOHAMED (PRESIDENT)
(612) 426-9947
Entity
Organization
Contact information
Practice address
3319 MILLER ST, EAU CLAIRE, WI 54701-7647
(612) 426-9947
Mailing address
3319 MILLER ST, EAU CLAIRE, WI 54701-7647
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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