Individual provider · Type 1 NPI

Marcia Ann Maxwell

Assisted Living Facility · Milwaukee, WI

NPI number 1720569858 Active

Practice location

5057 N 19th St
Milwaukee, WI 53209-5762

Call (414) 716-5971 Map

Fax (414) 716-5109

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X323472-31 (WI)
Nursing Care Agency 251J00000XNone listed
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1720569858

Marcia Ann Maxwell's National Provider Identifier is 1720569858, issued on Aug 27, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 20, 2021.