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Organization
PRESLEYS SECOND HOME
Active
Organization
PRESLEYS SECOND HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT LEDELL JOHNSON SR. (OWNER/CEO)
(414) 791-9929
Entity
Organization
Contact information
Practice address
3069 N 52ND ST, MILWAUKEE, WI 53210-1612
(414) 791-9929
Mailing address
3069 N 52ND ST, MILWAUKEE, WI 53210-1612
(414) 791-9929
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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