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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENESIS ADULT FAMILY HOME LLC

Active Organization

Intermediate Care Facility (ICF) · MEQUON, WI

Registration Details

NPI Number
1831974955
Provider Type
Organization
NPI Issued
Aug 28, 2023 (2.6474523513639 yrs)
Last Updated
Aug 28, 2023

Practice Information

Address
3315 W BURGUNDY CT
MEQUON, WI, 530925202
Browse WI providers · Browse ZIP 53092
Phone
2628531344
Primary Specialty
Intermediate Care Facility (ICF)
310500000X
Additional Specialty
3140N1450X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.