OrganizationActive
Supportive Care Family Home LLC
NPI 1568038446 · Child Intellectual and/or Developmental Disabilities Respite Care · Milwaukee, WI
Provider details
- NPI number
- 1568038446
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Tiffany Dabney, Owner(414) 252-8442
Specialties & taxonomies
Respite Care Facility
- Respite Care385H00000X
Respite Care Facility
Practice location
4934 N 73rd St
Milwaukee, WI 53218-3815
Phone: (414) 252-8442
Approximate (ZIP-level) locationGet directions
Mailing address
4934 N 73rd St
Milwaukee, WI 53218-3815
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.