Organization
THE MANNA HOUSE ADULT FAMILY HOME
Active
Organization
THE MANNA HOUSE ADULT FAMILY HOME
Active
Other names
The Manna House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRICE JOHNSON (OWNER)
(262) 902-3338
Entity
Organization
Contact information
Practice address
3417 DOUGLAS AVE, RACINE, WI 53402-3751
(262) 637-8362
(262) 800-3065
Mailing address
2400 KINZIE AVE, RACINE, WI 53405-2520
(262) 637-8362
(262) 800-3065
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
0015034
WI
Other
Enumeration date
04/17/2014
Last updated
04/29/2014
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