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1063744431
GENESIS SUPPORTIVE LIVING SERVICES LLC
MILWAUKEE, WI
NPI
1063744431
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Entity Type
Organization
Authorized Contact
WELLINGTON M WARREN
Director
414-562-2567
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2010-02-09
Last Update Date
2011-04-06
Business Address
GENESIS SUPPORTIVE LIVING SERVICES LLC
1545 N 7TH ST
MILWAUKEE, WI 53205-2347
Phone number: 414-562-2567
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Mailing Address
GENESIS SUPPORTIVE LIVING SERVICES LLC
1545 N 7TH ST
MILWAUKEE, WI 53205-2347
Phone number: 414-562-2567
Copy
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