Individual provider · Type 1 NPI

Raven M. Hubbert

Adult Care Home Facility · Milwaukee, WI

NPI number 1336810217 Active

Practice location

2902 W Roosevelt Dr
Milwaukee, WI 53216-1838

Call (414) 982-8107 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X0021059 (WI)

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 1336810217

Raven M. Hubbert's National Provider Identifier is 1336810217, issued on Sep 21, 2021. 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 Jun 17, 2026.