Organization
RILEYS ADULT FAMILY HOME LLC
Active
Other names
Rileys Adult Family Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VERNISHA TAYLOR (EXECUTIVE DIRECTOR)
(414) 739-4264
Entity
Organization
Contact information
Practice address
3719 N 61ST ST, MILWAUKEE, WI 53216-2101
(414) 462-5532
(414) 462-5529
Mailing address
3719 N 61ST ST, MILWAUKEE, WI 53216-2101
(414) 462-5532
(414) 462-5529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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