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Organization

MANNA HOUSE ADULT FAMILY HOME, LLC

Active
Other names
The Manna House
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BEATRICE JOHNSON (OWNER/PRESIDENT)
(262) 902-3338
Entity
Organization

Contact information

Practice address
2400 KINZIE AVE, RACINE, WI 53405-2520
(262) 637-8362
Mailing address
6557 ALTAMOUNT CIR, MOUNT PLEASANT, WI 53406-6816
(262) 902-3338
(262) 583-0653

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/01/2025
Last updated
09/01/2025
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