Organization
EAST POINT RESIDENTIAL FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA GILLESPIE (OWNER/DIRECTOR)
(414) 793-6611
Entity
Organization
Contact information
Practice address
608 E NORTH AVE, MILWAUKEE, WI 53212-3423
(414) 265-5433
(414) 265-5435
Mailing address
PO BOX 12121, MILWAUKEE, WI 53212-0121
(414) 265-5433
(414) 265-5435
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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