NPI: 1407037856
Provider Name: ABUNDANT LIFE MINISTRY
Doing Business As: ABUNDANT LIFE MANOR
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization
Specialization: Assisted Living, Behavioral Disturbances
CLIA Number: 52D1055194
Address:
1904 E BELLEVIEW PL
MILWAUKEE, WI
ZIP 53211
Phone: (414) 962-3200
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ABUNDANT LIFE MINISTRY is an assisted living and behavioral disturbances assisted living facility in Milwaukee, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. ABUNDANT LIFE MINISTRY NPI is 1407037856. The provider is registered as an organization entity type.
The provider Is Doing Business As Abundant Life Manor.
The provider's business location address is:
1904 E BELLEVIEW PL
MILWAUKEE, WI
ZIP 53211-901
Phone: (414) 962-3200
Fax: (414) 962-3302
The provider's authorized official is Ruth Ryshke .
The authorized official title is Administrator and has the following contact phone number (414) 257-4350.
The CLIA number assigned to this NPI record is 52D1055194 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.