SUPPORTIVE CARE FAMILY HOME LLC NPI 1568038446

NPI Information

SUPPORTIVE CARE FAMILY HOME LLC is a respite care and mental retardation and/or developmental disabilities respite care in Milwaukee, WI. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. SUPPORTIVE CARE FAMILY HOME LLC NPI is 1568038446. The provider is registered as an organization entity type.

The provider's business location address is:

4934 N 73RD ST
MILWAUKEE, WI
ZIP 53218-815
Phone: (414) 252-8442

The provider's authorized official is Tiffany Dabney .
The authorized official title is Owner and has the following contact phone number (414) 252-8442.

The enumeration date for this NPI number is 6/1/2021 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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