| NPI | 1346657442 |
|---|---|
| Doing Business As | MARTIN LUTHER KING HERITAGE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TITO L IZARD President/Chief Executive Officer 414-267-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WI 102001-30) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WI 72014-30) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |