# PARKERS MANOR OF CARE

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

## Provider details

- **NPI number:** 1942077433
- **Authorized official:** MAKALIA PARKER (OWNER)
- **Authorized official phone:** (414) 202-0378

## Contact information

- **Practice address:** 4307 N 69TH ST, MILWAUKEE, WI 53216-1126
- **Practice address phone:** (414) 210-2308
- **Practice address fax:** (414) 455-3777
- **Mailing address:** 6815 W CAPITOL DR STE 107, MILWAUKEE, WI 53216-2056
- **Mailing address phone:** (414) 210-2308
- **Mailing address fax:** (414) 455-3777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 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