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Organization
NITA'S HOUSE LLC
Active
Organization
NITA'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA M MOORE (OWNER)
(414) 243-8790
Entity
Organization
Contact information
Practice address
1925 N MAIN ST, RACINE, WI 53402-4712
(414) 243-8790
Mailing address
1925 N MAIN ST, RACINE, WI 53402-4712
(414) 243-8790
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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