Provider Demographics
NPI:1376192260
Name:DISABILITIES UNLIMITED INC.
Entity Type:Organization
Organization Name:DISABILITIES UNLIMITED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-406-0321
Mailing Address - Street 1:3808 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-3031
Mailing Address - Country:US
Mailing Address - Phone:414-540-6479
Mailing Address - Fax:414-540-1066
Practice Address - Street 1:3808 W ELM ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-3031
Practice Address - Country:US
Practice Address - Phone:414-540-6479
Practice Address - Fax:414-540-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care