Individual
MRS. GLORIA PIPHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5570 W ROOSEVELT DR, MILWAUKEE, WI 53216-3152
(414) 444-5512
(414) 444-2779
Mailing address
5570 W ROOSEVELT DR, MILWAUKEE, WI 53216-3152
(414) 444-5512
(414) 444-2779
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
0018383
WI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
0018383
WI
343900000X
Non-emergency Medical Transport (VAN)
Primary
414840000
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298339
—
WI
05
—
41484000
—
WI
Enumeration date
01/24/2014
Last updated
02/26/2025
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