Organization
LEGACY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARELL MCINTOSH (EXECUTIVE DIRECTOR)
18669745559
Entity
Organization
Contact information
Practice address
1915 N. MLK JR. DRIVE, MILWAUKEE, WI 53212-3676
(866) 974-5559
(414) 302-5060
Mailing address
1915 NORTH MARTIN LUTHER KING JR. DRIVE, SUITE #240W BOX #35, MILWAUKEE, WI 53212-3676
(866) 974-5559
(414) 302-5060
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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