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1184060998
LIFE ENHANCEMENT SUPPORTIVE SERVICES
MILWAUKEE, WI
NPI
1184060998
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Entity Type
Organization
Authorized Contact
TONYETTA L ROSS
Executive Director
414-690-0672
Organization Subpart ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-20
Last Update Date
2013-05-20
Business Address
LIFE ENHANCEMENT SUPPORTIVE SERVICES
3537 N 57TH ST
MILWAUKEE, WI 53216-2819
Phone number: 414-690-0672
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Mailing Address
LIFE ENHANCEMENT SUPPORTIVE SERVICES
3537 N 57TH ST
MILWAUKEE, WI 53216-2819
Phone number: 414-690-0672
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