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Gayle Millis, LPN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oak Creek, Wisconsin
NPI 1932574670

Gayle Millis is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Oak Creek, WI. Gayle Millis practices in Oak Creek, WI and has the professional credentials of LPN. The NPI Number for Gayle Millis is 1932574670 and holds a License No. 0013030 (Wisconsin).

The current practice location address for Gayle Millis is 3260 E Carollton Dr, Oak Creek, WI and can be reached out via phone at 262-989-2366 and via fax at 414-304-5866.

Location: 3260 E Carollton Dr, Oak Creek, WI, 53154-4165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932574670
Provider Name
Gayle Millis
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3260 E Carollton Dr, Oak Creek, WI, 53154-4165
Phone Number
262-989-2366
Fax Number
414-304-5866
Provider Enumeration Date
12/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3260 E Carollton Dr
City
Oak Creek
State
Wisconsin
Zip
53154-4165
Phone Number
262-989-2366
Fax Number
414-304-5866
person
Provider Business Mailing Address Details
Address
3260 E Carollton Dr
City
Oak Creek
State
Wisconsin
Zip
53154-4165
Phone Number
262-989-2366
Fax Number
414-304-5866
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
0014938 (Wisconsin)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
0015707 (Wisconsin)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
0013030 (Wisconsin)
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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