Organization
ACTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMUD HAILLE (CEO)
(612) 229-9512
Entity
Organization
Contact information
Practice address
2810 CROSSROADS DR STE 4008, MADISON, WI 53718-7942
(612) 229-9512
Mailing address
2810 CROSSROADS DR STE 4008, MADISON, WI 53718-7942
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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