PA
PRIMECARE ADULT FAMILY HOME
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
DEFOREST, WI
Licensed since
2026
Rate
—
Federal identifiers
NPI registry number1952253213
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameNDUBUISI ANYINOFU
TitleOWNER
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