Organization
NOVANEST RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARDESE HEWINGS (LICENSEE)
(262) 613-2554
Entity
Organization
Contact information
Practice address
4022 N 86TH ST, MILWAUKEE, WI 53222-1702
(414) 882-1227
Mailing address
4022 N 86TH ST, MILWAUKEE, WI 53222-1702
(414) 882-1227
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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