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1326556416
FERVENT CARE ADULT HOME INC
MILWAUKEE, WI
NPI
1326556416
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Entity Type
Organization
Authorized Contact
LEZAR BURNSIDE
Manager
414-935-2513
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: WI 0015402)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
FERVENT CARE ADULT HOME INC
4957 N 18TH ST
MILWAUKEE, WI 53209-5755
Phone number: 414-935-2513
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Mailing Address
FERVENT CARE ADULT HOME INC
4957 N 18TH ST
MILWAUKEE, WI 53209-5755
Phone number: 414-935-2513
Copy
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