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TSWV CHAO VANG CENTER LLC

Ambulatory Health Care Facilities Clinic/Center Adult Day Care

Provider NPI: 1891347852

Organization Information:
Organization Name:  TSWV CHAO VANG CENTER LLC
Organization is not Subpart
Authorized Official:  RICHARD CHAO VANG  ADMINISTRATOR  414-988-2503

Practice Location:
11010 W HAMPTON AVE  MILWAUKEE, WI 53225-3821 US
Tel: 414-988-2503  Fax: 414-988-2508

Business Mailing Address:
11010 W HAMPTON AVE  MILWAUKEE, WI 53225-3821 US
Tel: 414-988-2503  Fax: 414-988-2508

NPI Information:
NPI: 1891347852
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA0600XAmbulatory Health Care Facilities
Clinic/Center
Adult Day Care

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QA0600X

Type:

Classification:



Definition:



MEDICAL JOBS WI - Page 1

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