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

Potters House Pncc Services

Organization Case Management Agency · NPI 1790350908

Potters House Pncc Services is a Case Management Agency in Milwaukee, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2110 W National Ave
Milwaukee, WI 53204-1159
Phone: (414) 940-8564
Fax: (414) 810-0523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1790350908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dequana Bostick — Owner · (414) 419-1025
NPI enumeratedMay 21, 2021
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address824 S 18th St, Milwaukee, WI 53204-1125

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