Organization
SKY RESIDENTIAL SERVICES, INC
Active
Other names
brookside, inc
Organization subpart
No
Provider details
NPI number
Authorized official
KIM NGUYEN (CFO/SECRETARY)
(414) 916-2710
Entity
Organization
Contact information
Practice address
2405 S BROOKSIDE PKWY, NEW BERLIN, WI 53151-2905
(414) 916-2710
Mailing address
N94W20846 SCHLEI RD, MENOMONEE FALLS, WI 53051-1127
(414) 916-2710
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
DSL293
WI
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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