Healthcare Provider Details

I. General information

NPI: 1669380952
Provider Name (Legal Business Name): HARMONY HOUSE OF PEACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5236 N 103RD ST
MILWAUKEE WI
53225-3201
US

IV. Provider business mailing address

5236 N 103RD ST
MILWAUKEE WI
53225-3201
US

V. Phone/Fax

Practice location:
  • Phone: 414-403-1893
  • Fax:
Mailing address:
  • Phone: 414-403-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: LASHAE ALLEN
Title or Position: OWNER
Credential: ALLEN
Phone: 414-403-1893