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General NPI Number Information
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NPI Number | 1740093913
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Entity Type | Organization
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Legal Business Name | ONE BIG FAMILY ADULT FAMILY HOMES LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 316 GARFIELD ST
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City | BURLINGTON
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State | WI
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Zip | 53105-2040
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Country | US
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Telephone | 262-806-7252
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Fax | 419-781-4255
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Provider Business Mailing Address
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Address Line | 316 GARFIELD ST
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City | BURLINGTON
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State | WI
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Zip | 53105-2040
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Country | US
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Telephone | 262-806-7252
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Fax | 419-781-4255
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ELIZABETH ANN BALL
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Credential |
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Telephone | 262-806-7252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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