GAYLE MILLIS

OAK CREEK, WI
NPI1932574670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: WI  0014242)
Additional Taxonomies320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: WI  0013030)
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: WI  0015707)
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: WI  0014938)
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: WI  0013357)
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: WI  0015444)
Enumeration Date2015-12-07
Last Update Date2015-12-07
Business Address
-- GAYLE MILLIS LPN
3260 E CAROLLTON DR
OAK CREEK, WI 53154-4165
Phone number: 262-989-2366
Mailing Address
-- GAYLE MILLIS LPN
3260 E CAROLLTON DR
OAK CREEK, WI 53154-4165
Phone number: 262-989-2366