# HAZELKCARESLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306770342
- **Authorized official:** MR. DOMINQUE RAYVON BELL BELL (CAREGIVER)
- **Authorized official phone:** (414) 397-1388

## Contact information

- **Practice address:** 3566 N 12TH ST, MILWAUKEE, WI 53206-3034
- **Practice address phone:** (414) 397-1388
- **Mailing address:** 3566 N 12TH ST, MILWAUKEE, WI 53206-3034
- **Mailing address phone:** (414) 397-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2026
- **Last updated:** 07/21/2026