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1588967558
GOD SENT ADULT FAMILY HOME
MILWAUKEE, WI
NPI
1588967558
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Entity Type
Organization
Authorized Contact
DARRY TUCKER
Manager
414-610-4720
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
GOD SENT ADULT FAMILY HOME
3074 N 84TH ST
MILWAUKEE, WI 53222-4708
Phone number: 414-610-4720
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Mailing Address
GOD SENT ADULT FAMILY HOME
3074 N 84TH ST
MILWAUKEE, WI 53222-4708
Phone number: 414-610-4720
Copy
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