Organization
IDEAL COMMUNITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA CATRICE PERRY (OWNER)
(262) 469-1053
Entity
Organization
Contact information
Practice address
3900 W BROWN DEER RD STE C9, BROWN DEER, WI 53209-1220
(262) 469-1053
(855) 853-8249
Mailing address
PO BOX 1111, WEST BEND, WI 53095-8611
(414) 698-0990
(855) 853-8249
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
171400000X
Health & Wellness Coach
—
—
171R00000X
Interpreter
—
—
174200000X
Meals Provider
—
—
207QB0505X
Diabetology (Internal Medicine) Physician
—
—
207QD0401X
Diabetology (Family Medicine) Physician
—
—
251E00000X
Home Health Agency
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
12/09/2025
Last updated
12/17/2025
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