Organization
EXCEPTIONAL PROVISIONS PRENATAL CARE COORDINATION AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANI SMITH (OWNER)
(414) 248-8980
Entity
Organization
Contact information
Practice address
2441 N 26TH ST, MILWAUKEE, WI 53206-1007
(262) 727-2244
Mailing address
2441 N 26TH ST, MILWAUKEE, WI 53206-1007
(262) 727-2244
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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