Familylivingllc
Assisted Living Facility, Assisted Living, Mental Illness in Milwaukee, WI. Organization (NPI-2).
NPI number1720344237
StatusActive
Last updated in NPPESApr 9, 2012
Details
- NPI
- 1720344237
- Entity type
- Organization (NPI-2)
- Legal business name
- Familylivingllc
- Organization subpart
- No
- Enumeration date
- Apr 9, 2012
- Last updated
- Apr 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | 0013975 | WI | Yes |
Practice location
9120 N 94th StMilwaukee, WI 53224-1705
Phone 414-354-7004
Mailing address
9120 N 94th StMilwaukee, WI 53224-1705
Phone 414-354-7004
Authorized official
Gwendolyn Lachelle Jones
Director
4143547004
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