person
Chiquita Sharda Pryor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Milwaukee, Wisconsin
NPI 1114643566

Chiquita Sharda Pryor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Milwaukee, WI. Chiquita Sharda Pryor practices in Milwaukee, WI. The NPI Number for Chiquita Sharda Pryor is 1114643566 and holds a License No. (Wisconsin).

The current practice location address for Chiquita Sharda Pryor is 10130 W Tower Ave, Milwaukee, WI and can be reached out via phone at 414-617-2188.

Location: 10130 W Tower Ave, Milwaukee, WI, 53224-2914
person
Provider Profile Details
NPI Number
1114643566
Provider Name
Chiquita Sharda Pryor
Credential
Provider Entity Type
Individual
Gender
Female
Address
10130 W Tower Ave, Milwaukee, WI, 53224-2914
Phone Number
414-617-2188
Fax Number
Provider Enumeration Date
10/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10130 W Tower Ave
City
State
Zip
53224-2914
Phone Number
414-617-2188
Fax Number
person
Provider Business Mailing Address Details
Address
10130 W Tower Ave
City
State
Zip
53224-2914
Phone Number
414-617-2188
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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