Organization
TRADING PLACES ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVION BURDINE (OWNER)
(414) 208-3116
Entity
Organization
Contact information
Practice address
2529 N 21ST ST, MILWAUKEE, WI 53206-1504
(414) 208-3116
Mailing address
10228 W BURLEIGH ST, WAUWATOSA, WI 53222-3304
(414) 208-3116
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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