Organization
DESTINED HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEKITA T CHANEY (OWNER)
(414) 406-4093
Entity
Organization
Contact information
Practice address
7020 W CONGRESS ST, MILWAUKEE, WI 53218-5415
(414) 312-7155
Mailing address
7020 W CONGRESS ST, MILWAUKEE, WI 53218-5415
(414) 312-7155
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100310736
—
WI
Enumeration date
05/21/2025
Last updated
05/21/2025
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