Provider Demographics
NPI:1932512217
Name:INFINITE ENTERPRISES
Entity Type:Organization
Organization Name:INFINITE ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-759-5126
Mailing Address - Street 1:1710 N COMMERCE ST
Mailing Address - Street 2:APT 313
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3962
Mailing Address - Country:US
Mailing Address - Phone:414-759-5126
Mailing Address - Fax:
Practice Address - Street 1:1710 N COMMERCE ST
Practice Address - Street 2:APT 313
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3962
Practice Address - Country:US
Practice Address - Phone:414-759-5126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management