Organization
LILY ROSE CARE COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE WRIGHT (OWNER)
(262) 955-4313
Entity
Organization
Contact information
Practice address
9135 W LISBON AVE, MILWAUKEE, WI 53222-2722
(262) 955-4313
Mailing address
9135 W LISBON AVE, MILWAUKEE, WI 53222-2722
(262) 955-4313
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/29/2020
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