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Organization

PRECIOUS MINDS ADULT FAMILY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORSICA JAMES (OWNER)
(262) 505-3507
Entity
Organization

Contact information

Practice address
716 N BIRD ST, SUN PRAIRIE, WI 53590-1304
(262) 505-3507
Mailing address
716 N BIRD ST, SUN PRAIRIE, WI 53590-1304

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
05/26/2022
Last updated
05/26/2022
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