Community Living Alliance

NPI #1922559756 in Madison, Wisconsin

Provider Information

NPI Number: 1922559756
Entity Type: Organization
Organization Name: Community Living Alliance
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 17, 2016
Last Updated: Oct 17, 2016

Practice Location

Address: 1414 MACARTHUR RD
City: Madison
State: Wisconsin
ZIP Code: 53714-1318
Phone: (608) 242-8335

Authorized Official

Name: MR. TODD COSTELLO, MSN, MBA
Title: EXECUTIVE DIRECTOR
Phone: (608) 242-8335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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