Organization
ACCIA COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMO D MAOW (OWNER)
(571) 225-2443
Entity
Organization
Contact information
Practice address
4349 DE VOLIS PKWY, MADISON, WI 53711-4819
(571) 225-2443
Mailing address
4349 DE VOLIS PKWY, MADISON, WI 53711-4819
(571) 225-2443
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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