Individual provider · Type 1 NPI

Chiquita Sharda Pryor

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI

NPI number 1114643566 Active

Practice location

10130 W Tower Ave
Milwaukee, WI 53224-2914

Specialties and licenses

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1114643566

Chiquita Sharda Pryor's National Provider Identifier is 1114643566, issued on Oct 18, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 18, 2022.