Provider Demographics
NPI:1790155091
Name:HOLY PROPERTIES LLC
Entity Type:Organization
Organization Name:HOLY PROPERTIES LLC
Other - Org Name:HOLY HOMES AFH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS-WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-466-4077
Mailing Address - Street 1:6324 W FOND DU LAC AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4906
Mailing Address - Country:US
Mailing Address - Phone:414-446-4077
Mailing Address - Fax:844-273-9397
Practice Address - Street 1:6324 W FOND DU LAC AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-4906
Practice Address - Country:US
Practice Address - Phone:414-446-4077
Practice Address - Fax:844-273-9397
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUSE OF LOVE YOUTH HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home