Organization
JIREH WAY FAMILY GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHEMA BULLOCKS (OWNER)
(414) 366-9258
Entity
Organization
Contact information
Practice address
8106 W CONGRESS ST, MILWAUKEE, WI 53218-4532
(414) 366-9258
(414) 368-0111
Mailing address
8431 N SERVITE DR UNIT 104, MILWAUKEE, WI 53223-6206
(414) 366-9258
(414) 368-0111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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