IndividualActive
Mary Akande
NPI 1497604805 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cudahy, WI
Provider details
- NPI number
- 1497604805
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0019511 (WI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 0019511 (WI)
Residential Treatment Facilities
Practice location
6011 S Elaine Ave
Cudahy, WI 53110-2914
Phone: (414) 588-8355
Approximate (ZIP-level) locationGet directions
Mailing address
504 E Randy Rd
Oak Creek, WI 53154-7090
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.