# WISC RESIDENTIAL SERVICES CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033096243
- **Authorized official:** KEYANNA ALLEN (OWNER)
- **Authorized official phone:** (414) 239-2817

## Contact information

- **Practice address:** 4152 N 35TH ST, MILWAUKEE, WI 53216-1708
- **Practice address phone:** (414) 239-2817
- **Mailing address:** PO BOX 16492, MILWAUKEE, WI 53216-0492
- **Mailing address phone:** (414) 239-2817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2025
- **Last updated:** 08/19/2025