Organization · Type 2 NPI

Clean Slate Adult Family Home Corp.

Adult Care Home Facility · Milwaukee, WI

NPI number 1427874569 Active

Practice location

6918 W Birch Ct
Milwaukee, WI 53218-2955

Call (414) 231-3108 Map

Mailing address

5743 N 77th St
Milwaukee, WI 53218-2144

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 1427874569

Clean Slate Adult Family Home Corp.'s National Provider Identifier is 1427874569, issued on Nov 22, 2024. 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 Nov 22, 2024.