Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cc' Adult Family Home

Organization Assisted Living Facility (Mental Illness) · NPI 1275293375

Cc' Adult Family Home is an Assisted Living Facility (Mental Illness) in Milwaukee, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4557 N 30th St
Milwaukee, WI 53209-6049
Phone: (414) 639-7107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1275293375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Condesa Clark — Owner · (262) 505-4531
NPI enumeratedDecember 30, 2021
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021
Mailing address4557 N 30th St, Milwaukee, WI 53209-6049

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