Organization
MINDSTAR RESIDENTIAL COMMUNITY
Active
Organization
MINDSTAR RESIDENTIAL COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STARLETTE PATTERSON-BIDDLE PHD (EXECUTIVE DIRECTOR)
(414) 435-0303
Entity
Organization
Contact information
Practice address
5901 W BROWN DEER RD UNIT 109, BROWN DEER, WI 53223-2338
(414) 435-0303
(414) 206-2424
Mailing address
PO BOX 1115, MENOMONEE FALLS, WI 53052-1115
(414) 435-0303
(414) 206-2424
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
07/06/2021
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