Organization
LUE'S VISIONS OF SUCCESS AND PROSPERITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE PERRY (MANAGER)
(414) 405-4022
Entity
Organization
Contact information
Practice address
6452 W MEDFORD AVE, MILWAUKEE, WI 53218-4835
(414) 405-4022
Mailing address
6452 W MEDFORD AVE, MILWAUKEE, WI 53218-4835
(414) 405-4022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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