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Organization

BASRA COMPASSIONATE LIVING LLC

Active
Other names
TENTH HOME
Organization subpart
No

Provider details

NPI number
Authorized official
ABDIQADIR A MOHAMED (SERVICES PROVIDER)
(608) 556-5281
Entity
Organization

Contact information

Practice address
601 10TH AVE, NEW GLARUS, WI 53574-9402
(608) 556-5281
Mailing address
601 10TH AVE, NEW GLARUS, WI 53574-9402

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
385H00000X
Respite Care

Other

Enumeration date
07/16/2024
Last updated
05/30/2025
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