Organization
BUTTERFLYZ, LLC
Active
Parent organization
BUTTERFLYZ, LLC
Other names
Omni Transitional Supportive Services, Quality Living Community Support Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUTTERFLYZ, LLC
Authorized official
MS. BABOONIE TATUM BS, M.ED (MANAGER)
(414) 915-8189
Entity
Organization
Contact information
Practice address
3628 W WRIGHT ST, MILWAUKEE, WI 53210-3057
(414) 426-3575
Mailing address
6235 N TEUTONIA AVE, MILWAUKEE, WI 53209-3648
(414) 426-3575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
177F00000X
Lodging Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/15/2017
Last updated
06/16/2018
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