# MOORE TRANQUILITY HOME LIVING LL

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

## Provider details

- **NPI number:** 1659243368
- **Authorized official:** JONIKA D MOORE ADULT FAMILY HOME (OWNER)
- **Authorized official phone:** (414) 346-6498

## Contact information

- **Practice address:** 5653 N 36TH ST, MILWAUKEE, WI 53209-4005
- **Practice address phone:** (414) 346-6498
- **Mailing address:** 5653 N 36TH ST, MILWAUKEE, WI 53209-4005
- **Mailing address phone:** (414) 346-6498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 09/22/2025