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1952017402
T AND D ADULT FAMILY HOME LLC
MILWAUKEE, WI
NPI
1952017402
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Entity Type
Organization
Authorized Contact
TYRONE D SIMMON
Owner
262-527-3153
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
T AND D ADULT FAMILY HOME LLC
5834 N 79TH ST
MILWAUKEE, WI 53218-1713
Phone number: 262-527-3153
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Mailing Address
T AND D ADULT FAMILY HOME LLC
5834 N 79TH ST
MILWAUKEE, WI 53218-1713
Phone number:
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