National Provider Identifier Database

VIRGINIAS PLAYHOUSE
Respite Care


Contact Information

VIRGINIAS PLAYHOUSE
4316 N 19TH PL
MILWAUKEE, WI53209-6836
Phone: 414-388-4186
Fax: 414-388-4186
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X
Respite Care, Mental Illness, Child 385HR2055X
Respite Care, Physical Disabilities, Child 385HR2065X

* Indicates primary specialty

NPI Profile & details for VIRGINIAS PLAYHOUSE

NPI Number 1073314415
Legal business name
LBN
VIRGINIAS PLAYHOUSE
Authorized official KENYETTA WILLIAMS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/21/2025
Last updated 03/21/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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