Organization
B.A. ISRAEL LLC
Active
Other names
Darboy Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIGHT AMUDOAGHAN ADMINISTRATOR BS. (ADMINISTRATOR)
(773) 416-8534
Entity
Organization
Contact information
Practice address
N9520 SILVER COURT, APPLETON, WI 54915
(920) 832-9290
(920) 832-0327
Mailing address
N9520 SILVER COURT, APPLETON, WI 54915
(920) 832-9290
(920) 832-0327
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
6082668482
WI
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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