Search › Wisconsin › Assisted Living Facility (Mental Illness)
Phabian Dejean
NPI 1346950698 · on the registry since 2022 · sole proprietor
Practice
- Address
- 104 W 4th St
Kaukauna, WI 54130 - Phone
- (920) 809-1023
Registry record
- Primary taxonomy
- Assisted Living Facility (Mental Illness)
3104A0625X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin