| NPI | 1851891048 |
|---|---|
| Doing Business As | OMEGA HOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | YOUNG OBINNA Administrator 414-899-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |