Organization
APPLETON COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASAD MIRE (CO-OWNER)
(952) 393-0995
Entity
Organization
Contact information
Practice address
11 DIANE LN, APPLETON, WI 54915-7203
(952) 393-0995
Mailing address
11 DIANE LN, APPLETON, WI 54915-7203
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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