Organization
ADULT DAY SERVICES OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATASHA WOODSON (OWNER)
(414) 241-1103
Entity
Organization
Contact information
Practice address
206 E LINCOLN AVE, MILWAUKEE, WI 53207-1544
(414) 241-1103
(414) 486-1172
Mailing address
PO BOX 13701, WAUWATOSA, WI 53213-0701
(414) 241-1103
(414) 486-1172
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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