# OMEGA HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OMEGA HOUSE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851891048
- **Authorized official:** YOUNG OBINNA (ADMINISTRATOR)
- **Authorized official phone:** (414) 899-2785

## Contact information

- **Practice address:** 5544 N 57TH ST, MILWAUKEE, WI 53218-3229
- **Practice address phone:** (414) 899-2785
- **Practice address fax:** (414) 988-5553
- **Mailing address:** 10523 W BIRCH AVE, MILWAUKEE, WI 53225-3213
- **Mailing address phone:** (414) 899-2785
- **Mailing address fax:** (414) 988-5553

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2018
- **Last updated:** 02/14/2018