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Organization

TLC COMMUNITY HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERESINA P SIMMONS RN (OWNER)
(414) 563-7771
Entity
Organization

Contact information

Practice address
1828 S 76TH STREET, STE 103, MILWAUKEE, WI 53214-4610
(414) 563-7771
Mailing address
PO BOX 14275, MILWAUKEE, WI 53214-0275
(414) 563-7771

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/12/2023
Last updated
12/23/2023
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