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Organization
RILEYS ADULT FAMILY HOME LLC
Active
Organization
RILEYS ADULT FAMILY HOME LLC
Active
Other names
Rileys Adult Family Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VERNISHA TAYLOR (EXECUTIVE DIRECTOR)
(414) 739-4264
Entity
Organization
Contact information
Practice address
3719 N 61ST ST, MILWAUKEE, WI 53216-2101
(414) 462-5532
(414) 462-5529
Mailing address
3719 N 61ST ST, MILWAUKEE, WI 53216-2101
(414) 462-5532
(414) 462-5529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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