Organization
BRING BACK LIFE OUTREACH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MARTIN (OWNER)
(262) 751-7226
Entity
Organization
Contact information
Practice address
4401 W SPENCER PL, MILWAUKEE, WI 53216-2450
(414) 377-1738
Mailing address
N84W15920 MENOMONEE AVE APT 107, MENOMONEE FALLS, WI 53051-3069
(414) 377-1738
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
333300000X
Emergency Response System Companies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
Primary
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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