Provider Demographics
NPI:1538966130
Name:POWER OF PEACE HOUSING AND RECOVERY SERVICE LLC
Entity type:Organization
Organization Name:POWER OF PEACE HOUSING AND RECOVERY SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SANAPAW
Authorized Official - Suffix:
Authorized Official - Credentials:RECOVERY COACH, PEER
Authorized Official - Phone:920-371-1665
Mailing Address - Street 1:4414 NICOLET DR BAY WI54311
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-1100
Mailing Address - Country:US
Mailing Address - Phone:920-371-1665
Mailing Address - Fax:
Practice Address - Street 1:4414 NICOLET DR BAY WI54311
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-1100
Practice Address - Country:US
Practice Address - Phone:920-371-1665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances