B.A.ISRAEL LLC NPI 1871940213

NPI Information

B.A.ISRAEL LLC is a community based residential treatment facility mental illness in Appleton, WI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. B.A.ISRAEL LLC NPI is 1871940213. The provider is registered as an organization entity type.
The provider Is Doing Business As Darboy Assisted Living.

The provider's business location address is:

N9520 SILVER COURT
APPLETON, WI
ZIP 54915
Phone: (920) 832-9290
Fax: (920) 832-0327

The provider's authorized official is Bright Amudoaghan .
The authorized official title is Managing Member and has the following contact phone number (773) 416-8534.

The CLIA number assigned to this NPI record is 52D2274042 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 5/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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