Organization
LOVE OF GRACE ADULT SERVICES
Active
Parent organization
LOVE OF GRACE PNCC SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOVE OF GRACE PNCC SERVICES LLC
Authorized official
MS. TAMIA M FREEMAN (OWNER)
(800) 796-0419
Entity
Organization
Contact information
Practice address
4556 N 41ST ST, MILWAUKEE, WI 53209-5818
(262) 281-1574
Mailing address
4556 N 41ST ST, MILWAUKEE, WI 53209-5818
(262) 281-1574
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2026
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