Organization
LEAP WAY LLC
Active
Other names
Leap Way Transition Home
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAMISHA J BOYD (OWNER)
(414) 573-4147
Entity
Organization
Contact information
Practice address
1436 N 26TH ST, MILWAUKEE, WI 53205-1821
(414) 526-8985
Mailing address
PO BOX 250559, MILWAUKEE, WI 53225-6507
(414) 573-4147
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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