Organization
THE SISTER CODE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANONA RENEE DAVIS (CEO)
(414) 698-8218
Entity
Organization
Contact information
Practice address
3268 N 40TH ST, MILWAUKEE, WI 53216-3613
(414) 698-8218
Mailing address
3268 N 40TH ST, MILWAUKEE, WI 53216-3613
(414) 698-8218
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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