Organization · Type 2 NPI

Clean Slate Adult Family Home Corp.

Adult Care Home Facility · Milwaukee, WI

NPI number 1497571541 Active

Practice location

5100 N 77th St
Milwaukee, WI 53218-3701

Call (414) 616-1868 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 1497571541

Clean Slate Adult Family Home Corp.'s National Provider Identifier is 1497571541, 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.