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Organization

SANKOFA PCA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW ELLIS (OWNER)
(414) 758-8195
Entity
Organization

Contact information

Practice address
3536 W FOND DU LAC AVE STE 3, MILWAUKEE, WI 53216-3737
(414) 758-8195
Mailing address
3536 W FOND DU LAC AVE STE 3, MILWAUKEE, WI 53216-3737
(414) 758-8195

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
09/23/2021
Last updated
09/23/2021
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