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Angela Sueline Carroll, RN
Assisted Living Facility (Mental Illness) in Milwaukee, Wisconsin
NPI 1194017194

Angela Sueline Carroll is an Assisted Living Facility (Mental Illness) based in Milwaukee, WI and is specialized in Assisted Living, Mental Illness. Angela Sueline Carroll practices in Milwaukee, WI and has the professional credentials of RN. The NPI Number for Angela Sueline Carroll is 1194017194 and holds a License No. 155143-030 (Wisconsin).

The current practice location address for Angela Sueline Carroll is 6228 W Kaul Ave Apt 1, Milwaukee, WI and can be reached out via phone at 262-344-4002.

Location: 6228 W Kaul Ave Apt 1, Milwaukee, WI, 53218-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194017194
Provider Name
Angela Sueline Carroll
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
6228 W Kaul Ave Apt 1, Milwaukee, WI, 53218-1527
Phone Number
262-344-4002
Fax Number
Provider Enumeration Date
05/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6228 W Kaul Ave Apt 1
City
Milwaukee
State
Wisconsin
Zip
53218-1527
Phone Number
262-344-4002
Fax Number
person
Provider Business Mailing Address Details
Address
6228 W Kaul Ave Apt 1
City
Milwaukee
State
Wisconsin
Zip
53218-1527
Phone Number
262-344-4002
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
155143-030 (Wisconsin)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
155143-030 (Wisconsin)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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