Organization · NPI-2
A Peace Of Mind Adult Family Homes
Custodial Care Facility, Adult Care Home · Milwaukee, WI
NPI number1053074096
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1053074096
- Entity type
- Organization (NPI-2)
- Legal business name
- A Peace Of Mind Adult Family Homes
- Organization subpart
- No
- Enumeration date
- Oct 18, 2021
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | – | – |
Practice location
5296 N 73rd StMilwaukee, WI 53218-2821
Phone 414-394-7506
Mailing address
Po Box 18664Milwaukee, WI 53218-0664
Phone 414-394-7506
Authorized official
Tenisha Danielle Maxey
Owner
4143947506
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