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Organization
LOYALTY FOOTPRINTS OF LIFE
Active
Organization
LOYALTY FOOTPRINTS OF LIFE
Active
Other names
Loyalty Footprints of Life
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA VIRGHES (OWNER/DIRECTOR)
(414) 702-7058
Entity
Organization
Contact information
Practice address
2742 N 34TH ST, MILWAUKEE, WI 53210-2517
(414) 702-7058
Mailing address
2742 N 34TH ST, MILWAUKEE, WI 53210-2517
(414) 702-7058
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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