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Clean Slate Adult Family Home
Home Health Agency in Milwaukee, Wisconsin
NPI 1104681238

Clean Slate Adult Family Home is a Home Health Agency based in Milwaukee, WI. Clean Slate Adult Family Home practices in Milwaukee, WI. The NPI Number for Clean Slate Adult Family Home is 1104681238 and holds a License No. (Wisconsin).

The current practice location address for Clean Slate Adult Family Home is 5743 N 77Th St, Milwaukee, WI and can be reached out via phone at 262-804-0099.

Location: 5743 N 77Th St, Milwaukee, WI, 53218-2144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104681238
Provider Name
Clean Slate Adult Family Home
Credential
Provider Entity Type
Organization
Address
5743 N 77Th St, Milwaukee, WI, 53218-2144
Phone Number
262-804-0099
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
5743 N 77Th St
City
Milwaukee
State
Wisconsin
Zip
53218-2144
Phone Number
262-804-0099
Fax Number
person
Provider Business Mailing Address Details
Address
5743 N 77Th St
City
Milwaukee
State
Wisconsin
Zip
53218-2144
Phone Number
262-804-0099
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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