Stonebrick Residential Living Facility Llc

LBN: Stonebrick Residential Living Facility Llc
Stonebrick Residential Living Facility Llc is an health care organization with primary practice located at 4703 W Villard Ave , Milwaukee WI 53218-4459. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Stonebrick Residential Living Facility Llc can be contacted via phone (414) 839-9906, or through Borum, Khalio via phone (414) 839-9906.

Contact Information

Primary practice address
4703 W Villard Ave Milwaukee WI 53218-4459
Phone: (414) 839-9906
Fax: (414) 435-0543
Website:
Map and Directions
Authorized official contact:
Name: Borum, Khalio
Phone: (414) 839-9906

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Wisconsin

Profile Details

NPI number 1467810788
LBN Legal business name Stonebrick Residential Living Facility Llc
DBA Doing business as
Authorized official Borum, Khalio
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2016
Last updated Feb 1st, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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