# PAMELAS LIFE CHANGING MOMENTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588221527
- **Authorized official:** PAMELA YVETTE OWENS (OWNER)
- **Authorized official phone:** (414) 265-5594

## Contact information

- **Practice address:** 6815 W CAPITOL DR STE 312, MILWAUKEE, WI 53216-2056
- **Practice address phone:** (414) 265-5594
- **Practice address fax:** (414) 800-4009
- **Mailing address:** 6815 W CAPITOL DR STE 312, MILWAUKEE, WI 53216-2056
- **Mailing address phone:** (414) 265-5594
- **Mailing address fax:** (414) 800-4009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 05/24/2019