# WISCONSIN INDEPENDENT LIVING SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1639779754
- **Authorized official:** BRANDON WEIDNER (OWNER)
- **Authorized official phone:** (262) 402-7496

## Contact information

- **Practice address:** 817 COLTON ST, WAUKESHA, WI 53186-5126
- **Practice address phone:** (262) 402-7496
- **Mailing address:** 817 COLTON ST, WAUKESHA, WI 53186-5126

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2020
- **Last updated:** 10/28/2020