OrganizationActive
Abby'S Clubhouse / Abby Boo Inc
NPI 1114548542 · Early Intervention Provider Agency · Milwaukee, WI
Provider details
- NPI number
- 1114548542
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Caprice Mathies, Owner(414) 242-1174
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
- Nursing Care Agency251J00000X
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
2640 W Fondulac Ave
Milwaukee, WI 53206
Phone: (414) 514-3651
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1052
Milwaukee, WI 53201-1052
Other names (DBA / former)
- Doing business as
- Abby'S Clubhouse
- Former legal business name
- Mtc Business
Registry dates
- Enumerated
- 2020-04-27
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.