Organization
BURRIS ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L BURRIS (OWNER)
(414) 810-3237
Entity
Organization
Contact information
Practice address
5249 N 37TH STREET, MILWAUKEE, WI 53209-4727
(414) 810-3237
(414) 810-3237
Mailing address
5249 NO 37TH STREET, MILWAUKEE, WI 53209-4727
(414) 810-3237
(414) 810-3237
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
STATE LICENSE
WI
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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