Organization
KIMPS ADULT DAY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIAH JACKSON (ADMINISTRATOR)
(414) 788-1084
Entity
Organization
Contact information
Practice address
5302 W BURLEIGH ST, MILWAUKEE, WI 53210-1622
(414) 788-1084
(414) 206-6909
Mailing address
2505 N 41ST ST, MILWAUKEE, WI 53210-2935
(414) 788-1084
(414) 206-6909
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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