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Organization
METHU ADULT FAMILY CARE HOME II
Active
Organization
METHU ADULT FAMILY CARE HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MWANGI METHU (PRESIDENT)
(414) 466-8930
Entity
Organization
Contact information
Practice address
2824 N 59TH ST, MILWAUKEE, WI 53210-1504
(414) 466-8930
(414) 873-4501
Mailing address
3070 N 55TH ST, MILWAUKEE, WI 53210-1563
(414) 466-8930
(414) 873-4501
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0015250
WI
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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