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Organization

MY DWELLING PLACE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARINA DODDS (RESPITE CARE)
(414) 303-5787
Entity
Organization

Contact information

Practice address
4736 W SCRANTON PL, MILWAUKEE, WI 53216-2959
(414) 303-5787
Mailing address
4736 W SCRANTON PL, MILWAUKEE, WI 53216-2959
(414) 303-5787

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
05/16/2023
Last updated
05/16/2023
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