# RILEYS ADULT FAMILY HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rileys Adult Family Home LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134584600
- **Authorized official:** VERNISHA TAYLOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (414) 739-4264

## Contact information

- **Practice address:** 3719 N 61ST ST, MILWAUKEE, WI 53216-2101
- **Practice address phone:** (414) 462-5532
- **Practice address fax:** (414) 462-5529
- **Mailing address:** 3719 N 61ST ST, MILWAUKEE, WI 53216-2101
- **Mailing address phone:** (414) 462-5532
- **Mailing address fax:** (414) 462-5529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 12/28/2015