Organization
ANDERS DEVELOPMENTAL & TRANSITION HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE K ANDERS (OFFICER)
(414) 899-9897
Entity
Organization
Contact information
Practice address
3359 N 25TH ST, MILWAUKEE, WI 53206-1237
(414) 509-7517
Mailing address
PO BOX 342563, MILWAUKEE, WI 53234-2563
(414) 509-7517
(414) 255-3532
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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