Organization
TRAINER'S ROYALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA IVY (CEO)
(414) 384-9949
Entity
Organization
Contact information
Practice address
3827 N 3RD ST, MILWAUKEE, WI 53212-1108
(414) 384-9949
Mailing address
3827 N 3RD ST, MILWAUKEE, WI 53212-1108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
03/21/2023
Last updated
04/05/2023
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