Abundant Living Care Adult Family Home
Custodial Care Facility, Adult Care Home in Milwaukee, WI. Organization (NPI-2).
NPI number1831653039
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1831653039
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Living Care Adult Family Home
- Organization subpart
- No
- Enumeration date
- Jan 22, 2019
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251E00000X | Home Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
2721 N 18th StMilwaukee, WI 53206-2135
Phone 262-478-0737 · Fax 262-546-0749
Mailing address
Po Box 18075Milwaukee, WI 53218-0075
Phone 414-403-9947
Authorized official
Kiondra N Bohanon
Administrator
4144039947
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