Organization
STONEBRICK RESIDENTIAL LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALIO BORUM (FACILITY ADMINISTRATOR)
(414) 839-9906
Entity
Organization
Contact information
Practice address
4703 W VILLARD AVE, MILWAUKEE, WI 53218-4459
(414) 839-9906
(414) 435-0543
Mailing address
4703 W VILLARD AVE, MILWAUKEE, WI 53218-4459
(414) 839-9906
(414) 435-0543
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us