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CREAM CITY COMFORTABLE LIVING 2 NPI 1952187007


NPI Information

NPI: 1952187007
Provider Name: CREAM CITY COMFORTABLE LIVING 2
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
6336 N 104TH ST
MILWAUKEE, WI
ZIP 53225
Phone: (414) 610-0124
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CREAM CITY COMFORTABLE LIVING 2 is an adult care home custodial care facility in Milwaukee, WI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CREAM CITY COMFORTABLE LIVING 2 NPI is 1952187007. The provider is registered as an organization entity type.

The provider's business location address is:

6336 N 104TH ST
MILWAUKEE, WI
ZIP 53225-408
Phone: (414) 610-0124

The provider's authorized official is Kirby Lockett .
The authorized official title is Owner and has the following contact phone number (414) 610-0124.

The enumeration date for this NPI number is 9/5/2023 and was last updated on 9/5/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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