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)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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Milwaukee, WISpecialty: Adult Care Home Facility (Primary)