Organization
FOUR A'S HELPING LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT S CALDERON III (PRESIDENT)
(414) 791-2369
Entity
Organization
Contact information
Practice address
W299S8681 STATE ROAD 83, MUKWONAGO, WI 53149
(414) 791-2369
Mailing address
W299S8681 STATE ROAD 83, MUKWONAGO, WI 53149
(414) 791-2369
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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