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

Stacey Spencer

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1427986165

Stacey Spencer is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2026
Specialties on file
3

Practice location Address checks out

4864 N 21st St
Milwaukee, WI 53209-5748
Phone: (213) 800-6801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X (WI)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X (WI)
Respite Care Taxonomy 385H00000X (WI)

Record details

NPI number1427986165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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