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Organization
PRIMROSE RESIDENTIAL FACILITY
Active
Organization
PRIMROSE RESIDENTIAL FACILITY
Active
Other names
Community Based Residential Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY TEMPLE GLADNEY RN (ADMINISTRATOR)
(414) 445-3607
Entity
Organization
Contact information
Practice address
3910 W BURLEIGH ST, MILWAUKEE, WI 53210-1816
(414) 445-3607
(414) 445-6575
Mailing address
3910 W BURLEIGH ST, MILWAUKEE, WI 53210-1816
(414) 445-3607
(414) 445-4575
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
WI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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