Individual provider · Type 1 NPI
Shyvon S. Metcalf
Adult Care Home Facility · Milwaukee, WI
NPI number
1861151805
Active
Practice location
4645 N 46th St
Milwaukee, WI 53218-5210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None 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 1861151805
Shyvon S. Metcalf's National Provider Identifier is 1861151805, issued on Dec 16, 2021. 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 Aug 27, 2024.