Five Star Community Resource INC.
Clinic/Center, Adult Day Care in Milwaukee, WI. Organization (NPI-2).
NPI number1780487587
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1780487587
- Entity type
- Organization (NPI-2)
- Legal business name
- Five Star Community Resource INC.
- Organization subpart
- No
- Enumeration date
- Mar 28, 2025
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Other names
- Five Star Community Resource INC. (Doing Business As)
Practice location
1710 N 24th StMilwaukee, WI 53205-1408
Phone 414-344-9433 · Fax 414-344-9266
Mailing address
1710 N 24th StMilwaukee, WI 53205-1408
Phone 414-344-9433 · Fax 414-344-9266
Other practice locations
1710 N 24th St
Milwaukee, WI 53205-1408
Milwaukee, WI 53205-1408
Phone 702-846-7315 · Fax 702-846-7315
Authorized official
Akyaa Smith
Executive Director
4143449433
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