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General NPI Number Information
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NPI Number | 1649137357
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Entity Type | Organization
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Legal Business Name | COME GROW WITH US ADULT FAMILY HOME LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 102 N RACINE AVE APT 4
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City | WAUKESHA
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State | WI
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Zip | 53186-5569
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Country | US
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Telephone | 414-578-9513
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Fax |
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Provider Business Mailing Address
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Address Line | 4520 N 47TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53218-5257
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONNICE HILL
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Credential |
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Telephone | 414-578-9513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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