# MOMENTS OF CARE

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

## Provider details

- **NPI number:** 1922671338
- **Authorized official:** QUDESHA ROBINSON (ADMINISTRATOR)
- **Authorized official phone:** (414) 759-7058

## Contact information

- **Practice address:** 2339 W MITCHELL ST, MILWAUKEE, WI 53204-3024
- **Practice address phone:** (414) 759-7058
- **Mailing address:** PO BOX 91142, MILWAUKEE, WI 53209-8142
- **Mailing address phone:** (414) 759-7058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2021
- **Last updated:** 07/22/2021
