CS
CLEAN SLATE ADULT FAMILY HOME CORP.
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
MILWAUKEE, WI
Licensed since
2024
Rate
—
Federal identifiers
NPI registry number1598581647
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTYRONE SIMMON
TitleOWNER
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