Organization
HERITAGE ON HAMPTON ASSISTED LIVING FACILITY LLC
Active
Other names
Heritage on Hampton Assisted Living Facility LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO KIMBROUGH (MEMBER)
(414) 803-7493
Entity
Organization
Contact information
Practice address
4615 W HAMPTON AVE, MILWAUKEE, WI 53218-5236
(414) 803-7493
(262) 364-2048
Mailing address
11118 W MEINECKE AVE APT 6, WAUWATOSA, WI 53226-1248
(414) 803-7493
(262) 364-2048
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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