Healthcare Provider Details

I. General information

NPI: 1780593509
Provider Name (Legal Business Name): UNITED FOR BETTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 N 25TH ST
MILWAUKEE WI
53206-1217
US

IV. Provider business mailing address

3121 N 25TH ST
MILWAUKEE WI
53206-1217
US

V. Phone/Fax

Practice location:
  • Phone: 414-293-3743
  • Fax:
Mailing address:
  • Phone: 414-293-3743
  • Fax:

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: KAYSHAWN G BOLES
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 414-293-3743