Organization
GRACEFUL LIVING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARDELIA SWIAMS (ADMINISTRATOR)
(414) 442-5740
Entity
Organization
Contact information
Practice address
3628 N 41ST ST, MILWAUKEE, WI 53216-3437
(414) 442-5740
(414) 442-4655
Mailing address
PO BOX 16944, MILWAUKEE, WI 53216-0944
(414) 442-5740
(414) 442-4655
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
03/17/2018
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