Organization
BLACKWELL, LLC
Active
Other names
Blackwell Family Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE BLACKWELL AS, BS (OWNER)
(414) 366-2973
Entity
Organization
Contact information
Practice address
8824 W KIEHNAU AVE, MILWAUKEE, WI 53224-5353
(414) 366-2973
Mailing address
8824 W KIEHNAU AVE, MILWAUKEE, WI 53224-5353
(414) 366-2973
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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