Organization
HOWARD JANSEN DAY TREATMENT
Active
Parent organization
PHOENIX CARE SYSTEMS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX CARE SYSTEMS, INC.
Authorized official
MS. PAULA LUCEY (EXECUTIVE DIRECTOR)
(414) 527-6970
Entity
Organization
Contact information
Practice address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6970
(414) 527-6971
Mailing address
1744 N FARWELL AVE, MILWAUKEE, WI 53202-1806
(414) 225-4460
(414) 225-4475
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2366
WI
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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