Organization

1 Heavenly Divine Adult Family Homes Llc

Adult Care Home Facility in Milwaukee, WI(View on Map)

Legal Business Name

1 Heavenly Divine Adult Family Homes Llc

NPI Number

1952051211

NPI Type

Organization

Enumeration Date

03/28/2022

Specialties

(Taxonomies)

Code

311ZA0620X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 16545
4637 N 24TH PL

City

Milwaukee
Milwaukee

State

WI
WI

Postal Code

53216-0545
53209-6206

Country

US
US

Telephone Number

(414) 350-3558
(414) 350-3558

Authorized Official

Name

Kathy Jones

Title or Position

OWNER

Telephone Number

(414) 350-3558

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/28/2022

Provider Address

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