Familylivingllc

NPI 1720344237 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1720344237
Enumeration Date 04/09/2012
Last Updated 04/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GWENDOLYN LACHELLE GWENDOLYN
Position DIRECTOR
Phone (414) 354-7004
Fax
Practice Location
9120 N 94TH ST
MILWAUKEE WI, 53224-1705, US
Phone (414) 354-7004
Fax
Business Location
9120 N 94TH ST
MILWAUKEE WI, 53224-1705, US
Phone (414) 354-7004
Fax
Toxanomy
Taxonomy Code 3104A0625X
License State Wisconsin
License Number 0013975
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According to our database, Familylivingllc NPI is 1720344237, taxonomy code is 3104A0625X and license number is 0013975, license state is located at Wisconsin. Familylivingllc physically located at 9120 N 94th St, Milwaukee WI, 53224-1705. NPI Number 1033115704 has the healthcare provider type.

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1720344237 NPI number is provided on an as is basis without warranty of any kind. 1720344237 is maintained by the National Plan & Provider Enumeration System. The contents of Familylivingllc are for informational purposes only.