Organization
JACKSON HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISSI BATES BS,MPH (OWNER)
(262) 393-8970
Entity
Organization
Contact information
Practice address
1887 N WATER ST APT 103, MILWAUKEE, WI 53202-1503
(414) 216-3248
Mailing address
1887 N WATER ST APT 103, MILWAUKEE, WI 53202-1503
(414) 216-3248
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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