Organization
MOLTKE PLACE
Active
Other names
Moltke Place, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY WOODS MSM (DIRECTOR)
(414) 739-2105
Entity
Organization
Contact information
Practice address
6741 W MOLTKE AVE, MILWAUKEE, WI 53210-1354
(414) 739-2105
Mailing address
PO BOX 511693, MILWAUKEE, WI 53203-0291
(414) 739-2105
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295134567
—
WI
Enumeration date
05/11/2018
Last updated
05/11/2018
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