# HOUSE OF SERENITY 1

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

## Provider details

- **NPI number:** 1659017416
- **Authorized official:** TAMIKO S WILDER (MANAGER)
- **Authorized official phone:** (414) 732-5160

## Contact information

- **Practice address:** 2973 N 56TH ST, MILWAUKEE, WI 53210-1528
- **Practice address phone:** (414) 732-5160
- **Mailing address:** 2973 N 56TH ST, MILWAUKEE, WI 53210-1528
- **Mailing address phone:** (414) 732-5160

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2022
- **Last updated:** 05/05/2022