Match in Milwaukee - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Match - NPI 1336205855
Match is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Milwaukee, Wisconsin. Match practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Match is 1336205855. The last update date is 2020-08-22.
Match's current location address is 2902 N 1st St, Milwaukee, Wisconsin. You can contact this provider via phone number 4143720739 and fax number 4143720739. The mailing address for Match is 2902 N 1st St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Match |
|---|---|
| Address | 2902 N 1st St, Milwaukee, Wisconsin |
| Phone Number | 4143720739 |
| Fax Number | 4143720739 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kyles Merry |
| Telephone Number | 4143720739 |
NPI Number Detail
| NPI Number | 1336205855 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2902 N 1st St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532122406 |
| Phone Number | 4143720739 |
| Fax Number | 4143720739 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 9374 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Match?
The Match has been issued the NPI (National Provider Identifier) 1336205855 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Match is located?
The Match is situated at the following address: 2902 N 1St St, Milwaukee, WI, 532122406.
What is the Match's specialty and taxonomy code?
The Match's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336205855 to Match?
The Centers for Medicare & Medicaid Services assigned the 1336205855 to Match on 2006-12-29.
When was the information regarding Match most recently updated?
The details pertaining to the Match, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1982607495
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