Humble Living Home Three

NPI #1568173284 in West Bend, Wisconsin

Provider Information

NPI Number: 1568173284
Entity Type: Organization
Organization Name: Humble Living Home Three
Subpart: Yes (part of a larger organization)
Parent Organization: HUMBLE LIVING ADULT FAMILY GROUP HOME LLC
Primary Specialty: Case Management
Enumeration Date: Dec 13, 2022
Last Updated: Dec 13, 2022

Practice Location

Address: 925 TOWER LN
City: West Bend
State: Wisconsin
ZIP Code: 53090-2425
Phone: (262) 239-1138

Authorized Official

Name: VERSHAUNDA CAMPBELL
Title: OWNER
Phone: (262) 239-1138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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