Organization
B.A. ISRAEL LLC
Active
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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