MEDICARE: SCHIKILA WELLS

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	:	1912702671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCHIKILA WELLS

Provider Business Mailing Address
First Line	:	6153 W APPLETON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1435
Country	:	US
Telephone Number	:	414-204-6019
Fax Number	:

Provider Business Practice Location Address
First Line	:	6153 W APPLETON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1435
Country	:	US
Telephone Number	:	414-204-6019
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

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Directions to “ SCHIKILA WELLS ” Practice Location

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