| From Your Home 2 My Heart Sanctuary Inc | |
|
2568 N 19th St Milwaukee WI 53206-2053 | |
| (414) 336-9747 | |
| Not Available |
| Full Name | From Your Home 2 My Heart Sanctuary Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2568 N 19th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Lynette Smith (OWNER) |
| Authorized Official Contact | 4143369747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| From Your Home 2 My Heart Sanctuary Inc 1808 N 13th St Milwaukee WI 53205-1728 Ph: (414) 336-9747 | From Your Home 2 My Heart Sanctuary Inc 2568 N 19th St Milwaukee WI 53206-2053 Ph: (414) 336-9747 |
| NPI Number | 1285382952 |
|---|---|
| Provider Enumeration Date | 03/12/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285382952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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