Organization
A MOTHER'S LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAMELA DENISE PENN (OWNER)
(414) 712-2367
Entity
Organization
Contact information
Practice address
7128 W MEDFORD AVE, MILWAUKEE, WI 53218-3851
(414) 712-2367
(414) 372-1202
Mailing address
7128 W MEDFORD AVE, MILWAUKEE, WI 53218-3851
(414) 712-2367
(414) 372-1202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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