A Fresh Start Recovery House

Organization Active NPI Home Health Agency · Milwaukee, WI

NPI 1508512245 · NPPES record last updated Feb 24, 2022

Key facts

NPI
1508512245
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
A FRESH START RECOVERY HOUSE
Practice address
3505 W. North Avenue
Milwaukee, WI 53208
Phone
(414) 600-9947
NPI assigned
Feb 22, 2022
Organization subpart
No

Authorized official

Name
Reeiyaina Griffin
Title
Agent
Phone
(414) 815-0505

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
A Fresh Start Recovery House (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

3505 W. North Avenue
Milwaukee, WI 53208

Mailing address

PO Box 12773
Milwaukee, WI 53212

Other providers in Milwaukee, WI

All providers in Milwaukee, WI · Home Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.