Organization · Type 2 NPI

5 Goodmen Community Care Group Home LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI

NPI number 1649090168 Active

Practice location

942 N 29th St
Milwaukee, WI 53208-3406

Call (414) 988-5321 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1649090168

5 Goodmen Community Care Group Home LLC's National Provider Identifier is 1649090168, issued on Oct 10, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 10, 2024.