Organization
ADVANCED SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIZZIE BLAND (DIRECTOR)
(414) 418-4410
Entity
Organization
Contact information
Practice address
7720 W BURLEIGH ST, MILWAUKEE, WI 53222-5004
(262) 834-9010
Mailing address
7720 W BURLEIGH ST, MILWAUKEE, WI 53222-5004
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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