Organization
WELLNESS VILLAS HOLDING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJAN DRCA (PRESIDENT)
(262) 825-0869
Entity
Organization
Contact information
Practice address
7353 W FOREST HOME AVE UNIT 20871, MILWAUKEE, WI 53220-5815
(262) 825-0869
Mailing address
7353 W FOREST HOME AVE UNIT 20871, MILWAUKEE, WI 53220-5815
(262) 825-0869
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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