NPI 1194469833
Phoenix Housing Foundation, Limited
Practice location
- Address
- 423 W Center St, Milwaukee, WI 53212-2724
- Phone
- (262) 349-8560
- Mailing address
- 4701 N 50th St, Milwaukee, WI 53218-5134
Authorised official
- Name
- Royale Dejun Reasby
- Title
- Ceo
- Phone
- (414) 397-7926
Registered specialties (15)
Mental Illness Community Based Residential Treatment Facility
Primary
Nursing Care Agency
Community/Behavioral Health Agency
In Home Supportive Care Agency
Mental Health Clinic/Center (Including Community Mental Health Center)
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Assisted Living Facility
Assisted Living Facility (Mental Illness)
Assisted Living Facility (Behavioral Disturbances)
Adult Care Home Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Physical Disabilities Residential Treatment Facility
Transportation Network Company
Home Health Aide
Registry record
- NPI
- 1194469833
- Entity type
- Organization
- NPI issued
- 27 Apr 2022
- Record last updated
- 27 Apr 2022
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.