Humble Living Home Three
Case Management Agency in West Bend, WI(View on Map)
Legal Business Name
Humble Living Home Three
NPI Number
1568173284
NPI Type
Organization
Enumeration Date
12/13/2022
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
925 TOWER LN
925 TOWER LN
City
West Bend
West Bend
State
WI
WI
Postal Code
53090-2425
53090-2425
Country
US
US
Telephone Number
(262) 239-1138
(262) 239-1138
Authorized Official
Name
Vershaunda Campbell
Title or Position
OWNER
Telephone Number
(262) 239-1138
Health Information Exchange
Endpoint Type
CONNECT
Endpoint
humblelivingwb@gmail.com
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
925 Tower LnWest Bend, WI530902425US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/13/2022
Provider Address
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