Organization
HOUSE OF SERENITY 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO S WILDER (MANAGER)
(414) 732-5160
Entity
Organization
Contact information
Practice address
2973 N 56TH ST, MILWAUKEE, WI 53210-1528
(414) 732-5160
Mailing address
2973 N 56TH ST, MILWAUKEE, WI 53210-1528
(414) 732-5160
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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