Organization
RASHADA ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAMILAH RASHADA (OWNER)
(414) 840-3049
Entity
Organization
Contact information
Practice address
4083 N MONTREAL ST, MILWAUKEE, WI 53216-1754
(414) 840-3049
(414) 442-7105
Mailing address
4083 N MONTREAL ST, MILWAUKEE, WI 53216-1754
(414) 840-3049
(414) 442-7105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013901
WI
347C00000X
Private Vehicle
0013901
WI
385H00000X
Respite Care
0013901
WI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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