Organization
BANNER DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY YELDELL (VICE PRESIDENT)
(414) 339-4604
Entity
Organization
Contact information
Practice address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-4599
(414) 466-2637
Mailing address
3801 N 88TH ST, MILWAUKEE, WI 53222-2706
(414) 466-4599
(414) 466-2637
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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