Organization
OMEGA HOUSE LLC
Active
Other names
OMEGA HOUSE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG OBINNA (ADMINISTRATOR)
(414) 899-2785
Entity
Organization
Contact information
Practice address
5544 N 57TH ST, MILWAUKEE, WI 53218-3229
(414) 899-2785
(414) 988-5553
Mailing address
10523 W BIRCH AVE, MILWAUKEE, WI 53225-3213
(414) 899-2785
(414) 988-5553
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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