Its a Passion Adult Family Home LLC

NPI #1447009840 in Kewaskum, Wisconsin

Provider Information

NPI Number: 1447009840
Entity Type: Organization
Organization Name: Its a Passion Adult Family Home LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: May 16, 2024
Last Updated: May 16, 2024

Practice Location

Address: 8487 KETTLE MORAINE DR
City: Kewaskum
State: Wisconsin
ZIP Code: 53040-9213
Phone: (414) 732-4485

Authorized Official

Name: MARGO ELISHA DAWSON
Title: OWNER
Phone: (414) 732-4485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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