# M AND T ADULT FAMILY HOME

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

## Provider details

- **NPI number:** 1093400087
- **Authorized official:** MS. LATANYA PIERCE (OWNER)
- **Authorized official phone:** (414) 388-6200

## Contact information

- **Practice address:** 1714 W CENTER ST, MILWAUKEE, WI 53206-2106
- **Practice address phone:** (414) 388-6200
- **Mailing address:** 1714 W CENTER ST, MILWAUKEE, WI 53206-2106
- **Mailing address phone:** (414) 388-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2023
- **Last updated:** 04/06/2023