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Organization

LIVING PROOF FAMILY FACILITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KELLY M CAMPBELL (OWNER)
(855) 573-5733
Entity
Organization

Contact information

Practice address
5620 N 78TH ST, MILWAUKEE, WI 53218-2145
(855) 573-5733
Mailing address
5620 N 78TH ST, MILWAUKEE, WI 53218-2145
(855) 573-5733

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/08/2016
Last updated
09/08/2016
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