Organization
HUMBLE LIVING ADULT FAMILY GROUP HOME LLC
Active
Other names
Humble Living Adult Family Group Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VERSHAUNDA CAMPBELL (OWNER)
(262) 239-1138
Entity
Organization
Contact information
Practice address
1124 W WASHINGTON ST, WEST BEND, WI 53095-2434
(262) 239-1138
Mailing address
1124 W WASHINGTON ST, WEST BEND, WI 53095-2434
(262) 239-1138
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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