Organization
HIS HOUSE OF HOPE ADULT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ROCHELLE IRVING (ADMINISTRATIVE ASSISTANT)
(414) 416-9086
Entity
Organization
Contact information
Practice address
6694 N 83RD ST, MILWAUKEE, WI 53223-5568
(414) 416-9086
Mailing address
6694 N 83RD ST, MILWAUKEE, WI 53223-5568
(414) 416-9086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0014940
WI
Other
Enumeration date
02/17/2016
Last updated
01/11/2017
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