Provider Demographics
NPI:1831986199
Name:EVAN AND JOAN WRIGHT HOUSE OF LOVE LLC
Entity type:Organization
Organization Name:EVAN AND JOAN WRIGHT HOUSE OF LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EASTON
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-788-8144
Mailing Address - Street 1:3246 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2024
Mailing Address - Country:US
Mailing Address - Phone:414-788-8144
Mailing Address - Fax:
Practice Address - Street 1:3246 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2024
Practice Address - Country:US
Practice Address - Phone:414-788-8144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Single Specialty