Organization
VALLEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI ISMAIL (CEO)
(480) 901-2382
Entity
Organization
Contact information
Practice address
5770 W PACKARD ST, APPLETON, WI 54913-8783
(480) 901-2382
Mailing address
5770 W PACKARD ST, APPLETON, WI 54913-8783
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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