Organization
PEACEFUL-SELAM ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MESKEREM THOMAS (OWNER)
(608) 575-2361
Entity
Organization
Contact information
Practice address
6225 SANDSTONE DR, MADISON, WI 53719-4857
(608) 575-2361
Mailing address
6225 SANDSTONE DR, MADISON, WI 53719-4857
(608) 575-2361
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251T00000X
PACE Provider Organization
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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