NPI 1407494081
Adult Day Services of Wisconsin LLC
Practice location
- Address
- 206 E Lincoln Ave, Milwaukee, WI 53207-1544
- Phone
- (414) 241-1103
- Fax
- (414) 486-1172
- Mailing address
- PO Box 13701, Wauwatosa, WI 53213-0701
Authorised official
- Name
- Latasha Woodson
- Title
- Owner
- Phone
- (414) 241-1103
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1407494081
- Entity type
- Organization
- NPI issued
- 14 Dec 2019
- Record last updated
- 14 Dec 2019
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.