Stonebrick Residential Living Facility LLC
Stonebrick Residential Living Facility LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4703 W Villard AveMilwaukee, WI 53218-4459
Phone: (414) 839-9906
Fax: (414) 435-0543
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (WI) |
|---|
Record details
| NPI number | 1467810788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Khalio Borum — Facility Administrator · (414) 839-9906 |
| NPI enumerated | February 1, 2016 |
| Last updated in NPPES | February 1, 2016 |
| Mailing address | 4703 W Villard Ave, Milwaukee, WI 53218-4459 |
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