Individual provider · Type 1 NPI

Willamina Bankston

Adult Care Home Facility · Milwaukee, WI

NPI number 1174404834 Active

Practice location

2517 W Halsey Ave
Milwaukee, WI 53221-2969

Call (262) 497-6382 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1174404834

Willamina Bankston's National Provider Identifier is 1174404834, issued on Sep 9, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 9, 2025.