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1790115954
LIFE ENHANCEMENT SUPPORTIVE SERVICES
MILWAUKEE, WI
NPI
1790115954
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Entity Type
Organization
Authorized Contact
TONYETTA L ROSS
Director
414-690-0672
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: WI 15896-130)
Enumeration Date
2013-11-25
Last Update Date
2013-11-25
Business Address
LIFE ENHANCEMENT SUPPORTIVE SERVICES
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-444-2380
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Mailing Address
LIFE ENHANCEMENT SUPPORTIVE SERVICES
6001 W CENTER ST STE 201
MILWAUKEE, WI 53210-2154
Phone number: 414-444-2380
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