NPI 1033096243

Wisc Residential Services Corp

Organisation Adult Care Home Facility Milwaukee, WI

Practice location

Address: 4152 N 35th St, Milwaukee, WI 53216-1708
Phone: (414) 239-2817
Mailing address: PO Box 16492, Milwaukee, WI 53216-0492

Authorised official

Name: Keyanna Allen
Title: Owner
Phone: (414) 239-2817

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Wisconsin →

Registry record

NPI: 1033096243
Entity type: Organization
NPI issued: 19 Aug 2025
Record last updated: 19 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.