House Of David, Inc.

LBN: House Of David, Inc.
House Of David, Inc. is an health care organization with primary practice located at 4417 W North Ave , Milwaukee WI 53208-1241. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. House Of David, Inc. can be contacted via phone (414) 444-3013, or through Nichols, Luridean via phone (414) 444-3013.

Contact Information

Primary practice address
4417 W North Ave Milwaukee WI 53208-1241
Phone: (414) 444-3013
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Luridean
Phone: (414) 444-3013

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1770758203
LBN Legal business name House Of David, Inc.
DBA Doing business as
Authorized official Nichols, Luridean
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770758203 NPPES
Wisconsin MEDICAID 43086200

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