NPI 1386435469

Jackson House LLC

Organisation Voluntary or Charitable Agency Milwaukee, WI

Practice location

Address: 1887 N Water St APT 103, Milwaukee, WI 53202-1503
Phone: (414) 216-3248

Authorised official

Name: Crissi Bates
Title: Owner
Phone: (262) 393-8970

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Wisconsin →

Registry record

NPI: 1386435469
Entity type: Organization
NPI issued: 16 May 2025
Record last updated: 16 May 2025

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.