Organization
LOYALTY FOOTPRINTS OF LIFE
Active
Other names
Loyalty Footprints of Life
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA VIRGHES (OWNER/DIRECTOR)
(414) 702-7058
Entity
Organization
Contact information
Practice address
2742 N 34TH ST, MILWAUKEE, WI 53210-2517
(414) 702-7058
Mailing address
2742 N 34TH ST, MILWAUKEE, WI 53210-2517
(414) 702-7058
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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