# BENEVOLENT AFH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benevolent AFH LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588470090
- **Authorized official:** MR. CEDRIC D JOHNSON (OWNER)
- **Authorized official phone:** (262) 208-6976

## Contact information

- **Practice address:** 3803 N 24TH PL, MILWAUKEE, WI 53206-1420
- **Practice address phone:** (262) 208-6976
- **Mailing address:** 3803 N 24TH PL, MILWAUKEE, WI 53206-1420
- **Mailing address phone:** (262) 208-6976

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2024
- **Last updated:** 12/09/2024