Healthcare Provider Details

I. General information

NPI: 1386509610
Provider Name (Legal Business Name): URBAN LIFE DEVELOPMENT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 W WISCONSIN AVE APT 221
MILWAUKEE WI
53203-2628
US

IV. Provider business mailing address

161 W WISCONSIN AVE APT 221
MILWAUKEE WI
53203-2628
US

V. Phone/Fax

Practice location:
  • Phone: 414-324-4524
  • Fax: 414-324-4524
Mailing address:
  • Phone: 414-324-4524
  • Fax: 414-324-4524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DAVID L HINTON III
Title or Position: OWNER
Credential:
Phone: 414-324-4524