Organization
LEGACY OF LOVE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA MONIQUE MOLEX RN (OWNER)
(414) 870-5462
Entity
Organization
Contact information
Practice address
838 N 22ND ST, MILWAUKEE, WI 53233-1609
(414) 870-5462
Mailing address
11220 W BURLEIGH ST STE 100, WAUWATOSA, WI 53222-3225
(414) 870-5462
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100368772
—
WI
Enumeration date
11/14/2025
Last updated
11/14/2025
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