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Organization

HOPE HOUSING OF SHAWANO COUNTY AND WISCONSIN-USA

Active
Parent organization
HOPE HOUSE.US
Other names
Hope House.US
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOPE HOUSE.US
Authorized official
MR. DANIEL CHARLES CROWLEY I STREET SMART (EX DIRECTOR)
(414) 553-5247
Entity
Organization

Contact information

Practice address
2153 N 36TH ST, MILWAUKEE, WI 53208-1406
(414) 553-5247
Mailing address
2153 N 36TH ST, MILWAUKEE, WI 53208-1406
(414) 553-5247

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
WI
251X00000X
Supports Brokerage Agency
Primary
253Z00000X
In Home Supportive Care Agency
302F00000X
Exclusive Provider Organization
WI
347C00000X
Private Vehicle
WI
374U00000X
Home Health Aide
WI

Other

Enumeration date
11/07/2013
Last updated
01/03/2014
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