Organization
A PLACE FOR MIRACLES LIVING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI HOWARD (DIRECTOR/OWNER)
(414) 788-3068
Entity
Organization
Contact information
Practice address
7022 N 43RD ST, MILWAUKEE, WI 53209-2219
(414) 788-3068
(414) 438-9436
Mailing address
5100 N 42ND ST, MILWAUKEE, WI 53209-5219
(414) 788-3068
(414) 438-9436
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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