Organization
HEALING WATERS FAMILY ENRICHMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY DANIELLE COLEMAN (OWNER)
(414) 499-8463
Entity
Organization
Contact information
Practice address
4312 N 76TH ST, 4, MILWAUKEE, WI 53222-2043
(414) 499-8463
Mailing address
4312 N 76TH ST, APT A, MILWAUKEE, WI 53222-2043
(414) 499-8463
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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