NPI 1043869316

S&s House of Hope, LLC

Organisation Adult Care Home Facility West Bend, WI

Practice location

Address: 1664 Terry Dale Dr, West Bend, WI 53090-8934
Phone: (262) 353-9256
Mailing address: 5310 N 46th St, Milwaukee, WI 53218-3423

Authorised official

Name: Shaniece Robinson
Title: Owner
Phone: (414) 491-5891

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1043869316
Entity type: Organization
NPI issued: 9 Sep 2019
Record last updated: 18 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.