# FIRST CLASS CARE WISCONSIN LLC

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

## Provider details

- **NPI number:** 1285157529
- **Authorized official:** MR. IGONI IGONI (CO OWNER)
- **Authorized official phone:** (414) 763-2072

## Contact information

- **Practice address:** 5441 N 73RD ST, MILWAUKEE, WI 53218-2826
- **Practice address phone:** (414) 763-2072
- **Mailing address:** 5441 N 73RD ST, MILWAUKEE, WI 53218-2826
- **Mailing address phone:** (414) 763-2072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 0015719 | WI | Yes |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 07/21/2022