Provider Demographics
NPI:1790566834
Name:MILWAUKEES LEARNING ACADEMY
Entity Type:Organization
Organization Name:MILWAUKEES LEARNING ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WHATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-349-0619
Mailing Address - Street 1:5423 W VLIET ST STE 108
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-2180
Mailing Address - Country:US
Mailing Address - Phone:414-349-0619
Mailing Address - Fax:
Practice Address - Street 1:5423 W VLIET ST STE 108
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-2180
Practice Address - Country:US
Practice Address - Phone:414-349-0619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care