Abby's Clubhouse / Abby Boo INC

NPI #1114548542 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1114548542
Entity Type: Organization
Organization Name: Abby's Clubhouse / Abby Boo INC
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Apr 27, 2020
Last Updated: Feb 5, 2021

Practice Location

Address: 2640 W FONDULAC AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53206
Phone: (414) 514-3651

Authorized Official

Name: CAPRICE MATHIES
Title: OWNER
Phone: (414) 242-1174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Nursing Care	251J00000X
Public Health or Welfare	251K00000X
In Home Supportive Care	253Z00000X
Early Intervention Provider Agency	252Y00000X	Primary

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