Organization · NPI-2

1st Priority Afh

Assisted Living Facility · Racine, WI

NPI number1174208565
StatusActive
Last updated in NPPESJun 21, 2023

Details

NPI
1174208565
Entity type
Organization (NPI-2)
Legal business name
1st Priority Afh
Organization subpart
No
Enumeration date
Jun 21, 2023
Certification date
Jun 21, 2023
Last updated
Jun 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
251B00000X Case Management––
251E00000X Home Health––
251G00000X Hospice Care, Community Based––
251T00000X PACE Provider Organization––
253Z00000X In Home Supportive Care––
261QA0005X Clinic/Center, Ambulatory Family Planning Facility––
261QA0600X Clinic/Center, Adult Day Care––
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances––
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness––
320700000X Residential Treatment Facility, Physical Disabilities––
320800000X Community Based Residential Treatment Facility, Mental Illness––
342000000X Transportation Network Company––
343900000X Non-emergency Medical Transport (VAN)––
385H00000X Respite Care––

Practice location

2523 Charles St
Racine, WI 53402-4311

Phone 262-752-3620

Mailing address

2523 Charles St
Racine, WI 53402-4311

Phone 262-752-3620 · Fax 207-987-7091

Authorized official

Victoria Michelle Sterba
President
2627523620

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