MEDICARE: PERSONAL CHOICE AFH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1245058528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL CHOICE AFH LLC

Provider Business Mailing Address
First Line	:	PO BOX 80716
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208
Country	:	US
Telephone Number	:	920-366-8866
Fax Number	:	888-309-8797

Provider Business Practice Location Address
First Line	:	2922 N 45TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210
Country	:	US
Telephone Number	:	920-366-8866
Fax Number	:	888-309-8797

Authorized Official
Title or Position	:	OWNER
Name	:	GLORIA WREN
Credential	:
Telephone Number	:	920-366-8866

Provider Enumeration Date	:	09/26/2024
Last Update Date	:	07/29/2025

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