Individual
CHARLOTTE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 N 69TH ST, MILWAUKEE, WI 53216-1120
(414) 324-7265
Mailing address
PO BOX 100892, MILWAUKEE, WI 53210-0892
(414) 324-7265
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
07/21/2020
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