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Organization

LOVE AND HEART ADULT FAMILY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ANNE WILLOCK NURSE (CEO)
(414) 737-3081
Entity
Organization

Contact information

Practice address
3500 N SHERMAN BLVD, MILWAUKEE, WI 53216-3463
(414) 737-3081
(414) 231-3135
Mailing address
3500 N SHERMAN BLVD, MILWAUKEE, WI 53216-3463
(414) 737-3081
(414) 231-3135

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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