Organization
K.T. ADULT DAY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYANASADAT DAKHILI TABATABAEI (OWNER)
(414) 881-8991
Entity
Organization
Contact information
Practice address
3766 N 86TH ST, MILWAUKEE, WI 53222-2830
(414) 881-8991
Mailing address
3766 N 86TH ST, MILWAUKEE, WI 53222-2830
(414) 881-8991
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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