Organization

Humble Living Home Two

Case Management Agency in West Bend, WI(View on Map)

Legal Business Name

Humble Living Home Two

NPI Number

1295446912

NPI Type

Organization

Enumeration Date

12/13/2022

Specialties

(Taxonomies)

Code

251B00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

923 TOWER LN
923 TOWER LN

City

West Bend
West Bend

State

WI
WI

Postal Code

53090-2425
53090-2425

Country

US
US

Telephone Number

N/A
(262) 239-1138

Authorized Official

Name

Vershaunda Campbell

Title or Position

OWNER

Telephone Number

(262) 239-1138

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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