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Tina Rios
Adult Care Home Facility in Prairie Du Sac, Wisconsin
NPI 1528220472

Tina Rios is an Adult Care Home Facility based in Prairie Du Sac, WI and is specialized in Adult Care Home. Tina Rios practices in Prairie Du Sac, WI. The NPI Number for Tina Rios is 1528220472 and holds a License No. 305581031 (Wisconsin).

The current practice location address for Tina Rios is 601 21St St, Prairie Du Sac, WI and can be reached out via phone at 608-643-4643.

Location: 601 21St St, Prairie Du Sac, WI, 53578-1068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528220472
Provider Name
Tina Rios
Credential
Provider Entity Type
Organization
Address
601 21St St, Prairie Du Sac, WI, 53578-1068
Phone Number
608-643-4643
Fax Number
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38336500 05 WI
institution
Provider Business Practice Location Address Details
Address
601 21St St
City
Prairie Du Sac
State
Wisconsin
Zip
53578-1068
Phone Number
608-643-4643
Fax Number
person
Provider Business Mailing Address Details
Address
601 21St St
City
Prairie Du Sac
State
Wisconsin
Zip
53578-1068
Phone Number
608-643-4643
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
305581031 (Wisconsin)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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