Organization
CHANGING LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNTUANNETTA C TOWNES (OWNER)
(414) 399-9471
Entity
Organization
Contact information
Practice address
4910 N 85TH ST, MILWAUKEE, WI 53225-4209
(414) 399-9471
Mailing address
4910 N 85TH ST, MILWAUKEE, WI 53225-4209
(414) 399-9471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/14/2021
Last updated
11/04/2021
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