Organization
HOME OF ROOTS AND GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ABDALLA LPN (OWNER/ADMINISTRATOR)
(414) 810-0057
Entity
Organization
Contact information
Practice address
4683 N 74TH ST, MILWAUKEE, WI 53218-4750
(414) 810-0057
(414) 810-0006
Mailing address
4683 N 74TH ST, MILWAUKEE, WI 53218-4750
(414) 810-0057
(414) 810-0006
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
03/27/2026
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