Organization
PEACEFUL DWELLINGS 2 AFH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN L NICHOLS (OWNER)
(262) 875-9706
Entity
Organization
Contact information
Practice address
4414 N 39TH ST, MILWAUKEE, WI 53209-5802
(262) 875-9706
Mailing address
4414 N 39TH ST, MILWAUKEE, WI 53209-5802
(262) 875-9706
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315D00000X
Inpatient Hospice
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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