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1215575907
MARYANN ADULT FAMILY HOME LLC
MILWAUKEE, WI
NPI
1215575907
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Entity Type
Organization
Authorized Contact
CHIQUITA LEWIS
Owner
414-640-1042
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
MARYANN ADULT FAMILY HOME LLC
3008 W CARMEN AVE
MILWAUKEE, WI 53209-4235
Phone number: 414-640-1042
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Mailing Address
MARYANN ADULT FAMILY HOME LLC
PO BOX 101010
MILWAUKEE, WI 53210-7010
Phone number: 414-640-1042
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