A Fresh Start Recovery House
A Fresh Start Recovery House is an In Home Supportive Care Agency in Milwaukee, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
3505 W North AveMilwaukee, WI 53208-1415
Phone: (414) 600-9947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X |
Record details
| NPI number | 1518612613 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reeiyaina Griffin — Agent · (414) 815-0505 |
| NPI enumerated | February 16, 2022 |
| Last updated in NPPES | February 16, 2022 |
| Certification date | February 16, 2022 |
| Mailing address | Po Box 12773, Milwaukee, WI 53212-0773 |
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