Organization
THE HERITAGE HOUSE ON 15TH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARVIS MOORE (OWNER)
(414) 888-2712
Entity
Organization
Contact information
Practice address
4141 N 15TH ST, MILWAUKEE, WI 53209-6908
(414) 888-2712
Mailing address
4141 N 15TH ST, MILWAUKEE, WI 53209-6908
(414) 888-2712
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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