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Miracle Hope Supportive Home Care LLC — NPI 1053174391, Milwaukee, WI | NPI Central

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NPI 1053174391

OrganizationActive

Miracle Hope Supportive Home Care LLC

NPI 1053174391 · Adult Day Care Clinic/Center · Milwaukee, WI

Provider details

NPI number: 1053174391
Entity type: Organization
Primary specialty: Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Cencreaha Bowman, Ceo(920) 815-5158

Specialties & taxonomies

Adult Day Care Clinic/CenterPrimary261QA0600X
Ambulatory Health Care Facilities

Practice location

4467 N 85th St

Milwaukee, WI 53225-5141

Phone: (920) 815-5158

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

5202 W Lisbon Ave

Milwaukee, WI 53210-2749

Other names (DBA / former)

Doing business as: Miracle Hope Supportive Home Care LLC

Registry dates

Enumerated: 2024-01-31
Last updated: 2024-01-31
Certified: 2024-01-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.