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Organization
DREAM ADULT FAMILY HOMES LLC
Active
Organization
DREAM ADULT FAMILY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERREK CARTER SR. LPN (EXECUTIVE DIRECTOR)
(414) 202-1974
Entity
Organization
Contact information
Practice address
8027 W BECKETT AVE, MILWAUKEE, WI 53218-4626
(414) 202-1974
Mailing address
8027 W BECKETT AVE, MILWAUKEE, WI 53218-4626
(414) 202-1974
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0016244
WI
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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