Organization
EXTRAORDINARY CARE HOME LLC
Active
Organization
EXTRAORDINARY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBIN MOHAMED JIMALE (OWNER)
(507) 202-1707
Entity
Organization
Contact information
Practice address
2020 CROOKED AVE, HOLMEN, WI 54636-8632
(507) 202-1707
Mailing address
2020 CROOKED AVE, HOLMEN, WI 54636-8632
(507) 202-1707
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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