Healthcare Provider Details

I. General information

NPI: 1306765490
Provider Name (Legal Business Name): A NURTURING AWAY FROM HOME INC SUPPORTIVE APARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3513 W LISBON AVE
MILWAUKEE WI
53208-1973
US

IV. Provider business mailing address

6730 N 107TH ST
MILWAUKEE WI
53224-5008
US

V. Phone/Fax

Practice location:
  • Phone: 414-573-8836
  • Fax: 414-573-8836
Mailing address:
  • Phone: 414-573-8836
  • Fax: 414-573-8836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA P CUNNINGHAM
Title or Position: PRESIDENT
Credential:
Phone: 414-573-8836