Organization
EASTER SEALS SOUTHEAST WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SCHAEFER (COO)
(414) 449-4444
Entity
Organization
Contact information
Practice address
7101 53RD ST, KENOSHA, WI 53144-7848
(262) 764-2643
Mailing address
2222 S 114TH ST, WEST ALLIS, WI 53227-1031
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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