institution
Impacthealth
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Milwaukee, Wisconsin
NPI 1952709206

Impacthealth is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Milwaukee, WI. Impacthealth practices in Milwaukee, WI. The NPI Number for Impacthealth is 1952709206 and holds a License No. 101528-30 (Wisconsin).

The current practice location address for Impacthealth is 3219 N 51St Blvd, Milwaukee, WI and can be reached out via phone at 414-771-0543.

Location: 3219 N 51St Blvd, Milwaukee, WI, 53216-3235
institution
Provider Profile Details
NPI Number
1952709206
Provider Name
Impacthealth
Credential
Provider Entity Type
Organization
Address
3219 N 51St Blvd, Milwaukee, WI, 53216-3235
Phone Number
414-771-0543
Fax Number
Provider Enumeration Date
12/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073805255 05 WI
1104264001 05 WI
institution
Provider Business Practice Location Address Details
Address
3219 N 51St Blvd
City
State
Zip
53216-3235
Phone Number
414-771-0543
Fax Number
person
Provider Business Mailing Address Details
Address
3219 N 51St Blvd
City
State
Zip
53216-3235
Phone Number
414-771-0543
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.
101528-30 (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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