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Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness

Provider NPI: 1720344237

Organization Information:
Organization Name:  FAMILYLIVINGLLC
Organization is not Subpart
Authorized Official:  GWENDOLYN LACHELLE JONES  DIRECTOR  414-354-7004

Practice Location:
9120 N 94TH ST  MILWAUKEE, WI 53224-1705 US
Tel: 414-354-7004  Fax: --

Business Mailing Address:
9120 N 94TH ST  MILWAUKEE, WI 53224-1705 US
Tel: 414-354-7004  Fax: --

NPI Information:
NPI: 1720344237
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 3104A0625X





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