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:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEREZ MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-550-1307
Mailing Address - Street 1:790 N MILWAUKEE ST STE 355
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-4072
Mailing Address - Country:US
Mailing Address - Phone:414-550-1307
Mailing Address - Fax:
Practice Address - Street 1:790 N MILWAUKEE ST STE 355
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-4072
Practice Address - Country:US
Practice Address - Phone:414-550-1307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant