Individual
ISHIAH M STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2610 W VICTORY LN APT 1, MILWAUKEE, WI 53209-6173
(414) 539-7526
Mailing address
3911 W HEMLOCK ST, MILWAUKEE, WI 53209-1954
(414) 539-7526
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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