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Organization

MANNAS HOUSE ADULT DAYCARE II, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEATRICE JOHNSON (OWNER)
(262) 583-0653
Entity
Organization

Contact information

Practice address
1034 WEST BLVD, RACINE, WI 53405-2502
(262) 902-2420
(262) 583-0653
Mailing address
1034 WEST BLVD, RACINE, WI 53405-2502
(262) 902-2420
(262) 583-0653

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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