Individual
VIKAS PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1718 POPLAR AVE, SOUTH MILWAUKEE, WI 53172-1041
(414) 232-1944
Mailing address
2177 E MONTANA AVE, OAK CREEK, WI 53154-2433
(414) 232-1944
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174200000X
MEDICALLY TAILORED MEALS
—
01
—
251X00000X
PERSONAL CARE SEVICES
—
01
—
310400000X
TRANSPORTATION
WI
01
—
310400000X
RESIDENTIAL SERVICES-BED ADULT FAMILY HOME
—
01
—
333300000X
PERS
—
Enumeration date
11/05/2024
Last updated
08/04/2025
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