Provider Demographics
NPI:1609580984
Name:LIFTING OUR NEIGHBORHOOD NOW COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:LIFTING OUR NEIGHBORHOOD NOW COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:NIESHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-550-1307
Mailing Address - Street 1:5605 WASHINGTON AVE STE 7E
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-4056
Mailing Address - Country:US
Mailing Address - Phone:414-550-1307
Mailing Address - Fax:
Practice Address - Street 1:5605 WASHINGTON AVE STE 7E
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-4056
Practice Address - Country:US
Practice Address - Phone:414-550-1307
Practice Address - Fax:866-550-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health