Individual
MOHAMED ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 HILTON DR, MADISON, WI 53711-1119
(608) 895-1139
Mailing address
514 HILTON DR, MADISON, WI 53711-1119
(608) 895-1139
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0020330
WI
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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