Organization
SAINT GABRIEL;S CHURCH O GOD IN CHRIST
Active
Organization
SAINT GABRIEL;S CHURCH O GOD IN CHRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE A. SHAW (ADMINISTRATOR)
(414) 795-6397
Entity
Organization
Contact information
Practice address
5375 N 37TH ST, MILWAUKEE, WI 53209-4729
(414) 795-6397
(414) 578-2862
Mailing address
5600 N STANTON DR, GLENDALE, WI 53209-4341
(414) 795-6397
(414) 578-2862
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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