Individual provider · Type 1 NPI

Stephan Whitaker

Adult Care Home Facility · Milwaukee, WI

NPI number 1609522853 Active

Practice location

4900 W Joleno Ct
Milwaukee, WI 53223-1413

Call (414) 975-3861 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X0018441 (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 1609522853

Stephan Whitaker's National Provider Identifier is 1609522853, issued on Feb 25, 2022. 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 Feb 25, 2022.