Organization
HOUSE OF SIRENITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESSA BEARDEN (PROGRAM DIRECTOR)
(262) 221-8524
Entity
Organization
Contact information
Practice address
2823 N 36TH ST, MILWAUKEE, WI 53210-1925
(414) 485-7207
Mailing address
2823 N 36TH ST, MILWAUKEE, WI 53210-1925
(414) 485-7207
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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