Organization
ABUNDANT HOMES FOR INDEPENDENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYVON METCALF (DIRECTOR)
(414) 737-0335
Entity
Organization
Contact information
Practice address
4645 N 46TH ST, MILWAUKEE, WI 53218-5210
(414) 616-1180
(414) 662-5203
Mailing address
4645 N 46TH ST, MILWAUKEE, WI 53218-5210
(414) 616-1180
(414) 662-5203
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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