NPI 1043665805

East Point Residential Facility, LLC

Organisation Adult Care Home Facility Milwaukee, WI

Practice location

Address: 608 E North Ave, Milwaukee, WI 53212-3423
Phone: (414) 265-5433
Fax: (414) 265-5435
Mailing address: PO Box 12121, Milwaukee, WI 53212-0121

Authorised official

Name: Rita Gillespie
Title: Owner/Director
Phone: (414) 793-6611

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1043665805
Entity type: Organization
NPI issued: 29 Apr 2016
Record last updated: 29 Apr 2016

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.