Organization
PRESTIGE ADULT DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKISHA H KING RN (DIRECTOR)
(414) 343-9616
Entity
Organization
Contact information
Practice address
8048 N 76TH ST, MILWAUKEE, WI 53223-3202
(414) 343-9616
Mailing address
2924 W ROOSEVELT DR, MILWAUKEE, WI 53216-1838
(414) 343-9616
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
176207-30
WI
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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