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Contact Information

SALLY HOUSE CORP
2810 W KILBOURN AVE APT 3
MILWAUKEE, WI53208-3501
 Phone: 414-309-3213
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Care Home

311ZA0620X
 

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for SALLY HOUSE CORP

NPI # 1710834585
LBN Legal business name SALLY HOUSE CORP
Authorized official DAVIDA CLIFTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2026
Last updated 03/11/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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