# METHU ADULT FAMILY CARE HOME II

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942605670
- **Authorized official:** MR. JAMES MWANGI METHU (PRESIDENT)
- **Authorized official phone:** (414) 466-8930

## Contact information

- **Practice address:** 2824 N 59TH ST, MILWAUKEE, WI 53210-1504
- **Practice address phone:** (414) 466-8930
- **Practice address fax:** (414) 873-4501
- **Mailing address:** 3070 N 55TH ST, MILWAUKEE, WI 53210-1563
- **Mailing address phone:** (414) 466-8930
- **Mailing address fax:** (414) 873-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 0015250 | WI | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 10/23/2014