Organization
MILWAUKEE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY IDING (ACCOUNTING COORDINATOR)
(414) 289-6105
Entity
Organization
Contact information
Practice address
1230 W CHERRY STREET, MILWAUKEE, WI 53205-2117
(414) 289-6602
(414) 289-8524
Mailing address
1230 W CHERRY STREET, MILWAUKEE, WI 53205-2117
(414) 289-6602
(414) 289-8524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43077823
—
WI
05
—
43077824
—
WI
05
—
43109200
—
WI
Enumeration date
10/19/2007
Last updated
05/21/2025
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