Organization
SACRED GARDEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SWIFT (VICE PRESIDENT)
(414) 871-1040
Entity
Organization
Contact information
Practice address
4201 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 871-1040
(414) 871-2419
Mailing address
4201 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 871-1040
(414) 871-2419
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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