Organization
SADIES LEISURE LIVING ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA RENA YOUNG (OWNER)
(414) 803-9966
Entity
Organization
Contact information
Practice address
2800 W HOWARD AVE, MILWAUKEE, WI 53221-5814
(414) 839-9146
Mailing address
9017 W WATERFORD SQ N, GREENFIELD, WI 53228-2242
(414) 803-9966
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0016063
WI
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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