Organization
TMJ FAMILY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNISHA MCWRIGHT NURSE PRACTITIONER (OWNER)
(414) 897-3457
Entity
Organization
Contact information
Practice address
6475 N 87TH ST, MILWAUKEE, WI 53224-5437
(414) 897-3457
(414) 206-0256
Mailing address
6475 N 87TH ST, MILWAUKEE, WI 53224-5437
(414) 897-3457
(414) 206-0256
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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