Provider Demographics
NPI:1093101859
Name:HOPE HOUSE OF MILWAUKEE INC
Entity Type:Organization
Organization Name:HOPE HOUSE OF MILWAUKEE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WECKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-645-2122
Mailing Address - Street 1:209 W. ORCHARD ST
Mailing Address - Street 2:PO BOX 04095
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204
Mailing Address - Country:US
Mailing Address - Phone:414-645-2122
Mailing Address - Fax:414-645-2249
Practice Address - Street 1:209 W ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-2957
Practice Address - Country:US
Practice Address - Phone:414-645-2122
Practice Address - Fax:414-645-2249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management