MEDICARE: HOPE HOUSE OF MILWAUKEE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		WI

General Provider Information

NPI Number	:	1093101859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HOUSE OF MILWAUKEE INC

Provider Business Mailing Address
First Line	:	209 W. ORCHARD ST
Second Line	:	PO BOX 04095
City	:	MILWAUKEE
State	:	WI
Zip	:	53204
Country	:	US
Telephone Number	:	414-645-2122
Fax Number	:	414-645-2249

Provider Business Practice Location Address
First Line	:	209 W ORCHARD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2957
Country	:	US
Telephone Number	:	414-645-2122
Fax Number	:	414-645-2249

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. WENDY MARIE WECKLER
Credential	:
Telephone Number	:	414-645-2122

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	04/08/2015

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Directions to “HOPE HOUSE OF MILWAUKEE INC ” Practice Location

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