Organization
PEARLS LIFE HOUSE OPS LLC
Active
Other names
Pearl's Life House
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE HOOD (CEO)
(414) 322-3153
Entity
Organization
Contact information
Practice address
1051 S GRANDVIEW BLVD, WAUKESHA, WI 53188-5553
(414) 322-3153
Mailing address
1701 ELDER STREET 106, WAUKESHA, WI 53188
(414) 322-3153
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
10/17/2024
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