NPI 1376724591

Highland Garden Supportive Living

Organisation Supports Brokerage Agency Milwaukee, WI

Practice location

Address: 1818 W Juneau Ave, Milwaukee, WI 53233-1184
Phone: (414) 475-7788
Fax: (414) 475-5215
Mailing address: 7425 Harwood Ave, Wauwatosa, WI 53213-2626

Authorised official

Name: Patrick Missall
Title: Lead Supervisor
Phone: (414) 257-4381

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Wisconsin →

Registry record

NPI: 1376724591
Entity type: Organization
NPI issued: 15 Nov 2007
Record last updated: 15 Nov 2007

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.