Organization
NURTURING FAITH PNCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA HINTON (MANAGING MEMBER)
(414) 795-1721
Entity
Organization
Contact information
Practice address
9502 W PARKLAND CT, MILWAUKEE, WI 53224-3344
(414) 795-1721
Mailing address
9837 W SARASOTA PL, MILWAUKEE, WI 53222-1456
(414) 795-1721
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548865736
—
WI
Enumeration date
01/19/2021
Last updated
01/19/2021
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