Provider Demographics
NPI:1104703099
Name:WITH LOVE HOME LLC
Entity type:Organization
Organization Name:WITH LOVE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:NETTERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-530-7044
Mailing Address - Street 1:777 N VAN BUREN ST APT 1513
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-3861
Mailing Address - Country:US
Mailing Address - Phone:414-530-7044
Mailing Address - Fax:
Practice Address - Street 1:2345 N 8TH ST # 1513
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-3106
Practice Address - Country:US
Practice Address - Phone:414-530-7044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency