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Organization
PARKERS MANOR OF CARE
Active
Organization
PARKERS MANOR OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKALIA PARKER (OWNER)
(414) 202-0378
Entity
Organization
Contact information
Practice address
4307 N 69TH ST, MILWAUKEE, WI 53216-1126
(414) 210-2308
(414) 455-3777
Mailing address
6815 W CAPITOL DR STE 107, MILWAUKEE, WI 53216-2056
(414) 210-2308
(414) 455-3777
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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