Organization
S&S HOUSE OF HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIECE ROBINSON (OWNER)
(414) 491-5891
Entity
Organization
Contact information
Practice address
1664 TERRY DALE DR, WEST BEND, WI 53090-8934
(262) 353-9256
Mailing address
5310 N 46TH ST, MILWAUKEE, WI 53218-3423
(414) 491-5891
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00117629
WISCONSIN DEPARTMENT OF HEALTH SERVICES DQA
WI
Enumeration date
09/09/2019
Last updated
10/18/2021
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