Organization
INTEGRATED ADULT FAMILY HOME, LLC
Active
Other names
Integrated Adult Family Home, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDULKADIR JAMA (OWNER)
(206) 822-3616
Entity
Organization
Contact information
Practice address
1143 REBER ST, GREEN BAY, WI 54302-1521
(206) 822-3616
Mailing address
1143 REBER ST, GREEN BAY, WI 54302-1521
(206) 822-3616
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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