Jackson House LLC

NPI #1386435469 in Milwaukee, Wisconsin

Provider Information

NPI Number
1386435469
Entity Type
Organization
Organization Name
Jackson House LLC
Primary Specialty
Voluntary or Charitable
Enumeration Date
May 16, 2025
Last Updated
May 16, 2025

Practice Location

Address
1887 N WATER ST APT 103
ZIP Code
53202-1503
Phone
(414) 216-3248

Authorized Official

Name
CRISSI BATES, BS,MPH
Title
OWNER
Phone
(262) 393-8970

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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