Provider Demographics
NPI:1396282562
Name:4MOTHERS
Entity type:Organization
Organization Name:4MOTHERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAILNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-585-9896
Mailing Address - Street 1:5226 W HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-5016
Mailing Address - Country:US
Mailing Address - Phone:414-585-9896
Mailing Address - Fax:
Practice Address - Street 1:5226 W HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-5016
Practice Address - Country:US
Practice Address - Phone:414-585-9896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care