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Organization

MIRACLE HOPE SUPPORTIVE HOME CARE LLC

Active
Other names
Miracle Hope Supportive Home Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CENCREAHA E BOWMAN (CEO)
(920) 815-5158
Entity
Organization

Contact information

Practice address
4467 N 85TH ST, MILWAUKEE, WI 53225-5141
(920) 815-5158
Mailing address
5202 W LISBON AVE, MILWAUKEE, WI 53210-2749
(414) 275-7044

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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