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General NPI Number Information
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NPI Number | 1881426229
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Entity Type | Organization
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Legal Business Name | SHELTERING ARMS LLC
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 2854 N 29TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-2006
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Country | US
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Telephone | 414-999-7967
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Fax |
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Provider Business Mailing Address
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Address Line | 2854 N 29TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-2006
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Country | US
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Telephone | 414-999-7967
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. RACHEAL L WREN
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Credential | N/A
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Telephone | 414-999-7967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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