Organization
WISC RESIDENTIAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYANNA ALLEN (OWNER)
(414) 239-2817
Entity
Organization
Contact information
Practice address
4152 N 35TH ST, MILWAUKEE, WI 53216-1708
(414) 239-2817
Mailing address
PO BOX 16492, MILWAUKEE, WI 53216-0492
(414) 239-2817
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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