Organization
BEKUS ADULT DAY PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTA DEAN ROBERTSON (OWNER)
(414) 366-7309
Entity
Organization
Contact information
Practice address
4425 N 63RD ST, MILWAUKEE, WI 53218-5548
(414) 366-7309
Mailing address
4425 N 63RD ST, MILWAUKEE, WI 53218-5548
(414) 366-7309
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0015861
WI
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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