Organization
SALLY HOUSE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIDA CLIFTON (OWNER)
(414) 309-3213
Entity
Organization
Contact information
Practice address
2810 W KILBOURN AVE APT 3, MILWAUKEE, WI 53208-3501
(414) 309-3213
Mailing address
2810 W KILBOURN AVE APT 3, MILWAUKEE, WI 53208-3501
(414) 309-3213
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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