Organization
PHASES OF LIFE
Active
Parent organization
PHASES OF LIFE FAMILY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHASES OF LIFE FAMILY SERVICES
Authorized official
SHALON METCALF (DIRECTOR)
(414) 803-8535
Entity
Organization
Contact information
Practice address
4814 N 58TH ST, MILWAUKEE, WI 53218-4244
(414) 803-8535
Mailing address
4814 N 58TH ST, MILWAUKEE, WI 53218-4244
(414) 803-8535
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
06/16/2018
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