Organization
COMMUNITY KONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WANDA FAYE PRUITT (OFFICE MANAGER)
(414) 559-0182
Entity
Organization
Contact information
Practice address
9730 W BLUEMOUND RD STE 5, WAUWATOSA, WI 53226-4463
(414) 559-0182
Mailing address
9730 W BLUEMOUND RD STE 5, WAUWATOSA, WI 53226-4463
(414) 559-0182
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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