NPI 1417718636

Anso Residential Homes LLC

Organisation Physical Disabilities Residential Treatment Facility Green Bay, WI

Practice location

Address: 1175 Reed St, Green Bay, WI 54303-3071
Phone: (763) 415-6655

Authorised official

Name: Anwar Muhumed
Title: Owner
Phone: (763) 415-6655

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1417718636
Entity type: Organization
NPI issued: 16 Jan 2024
Record last updated: 16 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.