Organization
DREAM ADULT FAMILY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERREK CARTER SR. LPN (EXECUTIVE DIRECTOR)
(414) 202-1974
Entity
Organization
Contact information
Practice address
8027 W BECKETT AVE, MILWAUKEE, WI 53218-4626
(414) 202-1974
Mailing address
8027 W BECKETT AVE, MILWAUKEE, WI 53218-4626
(414) 202-1974
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0016244
WI
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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