Wisc Residential Services Corp
Custodial Care Facility, Adult Care Home in Milwaukee, WI. Organization (NPI-2).
NPI number1033096243
StatusActive
Last updated in NPPESAug 19, 2025
Details
- NPI
- 1033096243
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisc Residential Services Corp
- Organization subpart
- No
- Enumeration date
- Aug 19, 2025
- Certification date
- Aug 19, 2025
- Last updated
- Aug 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
4152 N 35th StMilwaukee, WI 53216-1708
Phone 414-239-2817
Mailing address
Po Box 16492Milwaukee, WI 53216-0492
Phone 414-239-2817
Authorized official
Keyanna Allen
Owner
4142392817
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