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Organization
OUR HOME SWEET HOME LLC
Active
Organization
OUR HOME SWEET HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TELENA A. NASH (DIRECTOR)
(414) 400-1717
Entity
Organization
Contact information
Practice address
4101 N MONTREAL ST, MILWAUKEE, WI 53216-1740
(414) 455-3092
Mailing address
4101 N MONTREAL ST, MILWAUKEE, WI 53216-1740
(414) 400-1717
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
09/09/2019
Last updated
11/02/2021
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