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Organization

UNITED COMMUNITIES ADULT DAYCARE SERVICE INC

Active
Parent organization
UNITED COMMUNITY AGENCY
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNITED COMMUNITY AGENCY
Authorized official
MARTINA D MCCLOUD (OWNER)
(414) 366-8898
Entity
Organization

Contact information

Practice address
5330 W LISBON AVE, MILWAUKEE, WI 53210-2751
(414) 585-9896
Mailing address
5330 W LISBON AVE, MILWAUKEE, WI 53210-2751
(414) 585-9896

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
253Z00000X
In Home Supportive Care Agency
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
05/18/2018
Last updated
06/16/2018
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