Organization
OCE ADULT FAMILY HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER CONRAD EDWARDS (OWNER)
(414) 807-2446
Entity
Organization
Contact information
Practice address
4466 N 57TH ST, MILWAUKEE, WI 53218-5608
(414) 807-2446
(414) 807-2446
Mailing address
4466 N 57TH ST, MILWAUKEE, WI 53218-5608
(414) 807-2446
(414) 807-2446
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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