Organization
TIFFANY JOHNSON LLC GINGERBREAD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY JOHNSON (CEO)
(404) 804-0311
Entity
Organization
Contact information
Practice address
1906 N 35TH ST, MILWAUKEE, WI 53208-1923
(414) 509-5097
(414) 296-0057
Mailing address
1906 N 35TH ST, MILWAUKEE, WI 53208-1923
(414) 509-5097
(414) 296-0057
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
05/05/2025
Last updated
05/06/2025
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