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

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1336205855

Match is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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Practice location Address checks out

2902 N 1st St
Milwaukee, WI 53212-2406
Phone: (414) 372-0739
Fax: (414) 372-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 9374 (WI)

Record details

NPI number1336205855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Merry Kyles — Owner · (414) 372-0739
Other names Match Ii
NPI enumeratedDecember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2902 N 1st St, Milwaukee, WI 53212-2406

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