Organization · NPI-2

A Sincere Family Home

Custodial Care Facility, Adult Care Home · Milwaukee, WI

NPI number1275190035
StatusActive
Last updated in NPPESMay 28, 2019

Details

NPI
1275190035
Entity type
Organization (NPI-2)
Legal business name
A Sincere Family Home
Organization subpart
No
Enumeration date
May 28, 2019
Last updated
May 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Practice location

4919 N 88th St
Milwaukee, WI 53225-4103

Phone 414-800-6255 · Fax 414-539-3470

Mailing address

4919 N 88th St
Milwaukee, WI 53225-4103

Phone 414-800-6255 · Fax 414-539-3470

Authorized official

Marcia Maxwell
Owner
4148006255

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