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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