OrganizationActive
5 Goodmen Community Care Group Home LLC
NPI 1649090168 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI
Provider details
- NPI number
- 1649090168
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- George Weaver, Coo
Mailing address
942 N 29th St
Milwaukee, WI 53208-3406
Registry dates
- Enumerated
- 2024-10-10
- Last updated
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.