Organization
OUR DAILY BREAD COMMUNITY OUTREACH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEA LAVONDA KYLE-LEWIS (CHIEF EXECUTIVE)
(414) 349-4521
Entity
Organization
Contact information
Practice address
6040 W LISBON AVE, SUITE 203, MILWAUKEE, WI 53210-2116
(414) 255-8595
Mailing address
6040 W LISBON AVE, SUITE 203, MILWAUKEE, WI 53210-2116
(414) 255-8595
(414) 449-0470
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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