Organization
ISLANDS OF BRILLIANCE
Active
Organization
ISLANDS OF BRILLIANCE
Active
Other names
Islands of Brilliance
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET P. FAIRBANKS (DIRECTOR OF EDUCATION)
(612) 670-7134
Entity
Organization
Contact information
Practice address
415 E MENOMONEE ST, MILWAUKEE, WI 53202-6117
(612) 670-7134
Mailing address
415 E MENOMONEE ST, MILWAUKEE, WI 53202-6117
(612) 670-7134
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
720354
WI
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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