CLEAN SLATE ADULT FAMILY HOME CORP.

MILWAUKEE, WI
NPI1104681238
Entity TypeOrganization
Authorized ContactTYRONE SIMMONS
Owner
630-234-4783
Organization Subpart ?No
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date2024-02-19
Last Update Date2024-11-22
Business Address
CLEAN SLATE ADULT FAMILY HOME CORP.
5743 N 77TH ST
MILWAUKEE, WI 53218-2144
Phone number: 262-804-0099
Mailing Address
CLEAN SLATE ADULT FAMILY HOME CORP.
5743 N 77TH ST
MILWAUKEE, WI 53218-2144
Phone number: 262-804-0099
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