NPI 1447009840

Its a Passion Adult Family Home LLC

Organisation PACE Provider Organization Kewaskum, WI

Practice location

Address: 8487 Kettle Moraine Dr, Kewaskum, WI 53040-9213
Phone: (414) 732-4485

Authorised official

Name: Margo Elisha Dawson
Title: Owner
Phone: (414) 732-4485

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1447009840
Entity type: Organization
NPI issued: 16 May 2024
Record last updated: 16 May 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.