Provider Demographics
NPI:1750549382
Name:FAMILY HOUSE, INC
Entity type:Organization
Organization Name:FAMILY HOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:DODZI
Authorized Official - Last Name:AC-LUMOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-374-5212
Mailing Address - Street 1:3269 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-2828
Mailing Address - Country:US
Mailing Address - Phone:414-374-5212
Mailing Address - Fax:414-374-1294
Practice Address - Street 1:3269 N 11TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-2828
Practice Address - Country:US
Practice Address - Phone:414-374-5212
Practice Address - Fax:414-374-1294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6685-800311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home