Organization
PLB LEGACY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PALMAN LEE BARNES (OWNER)
(414) 391-5048
Entity
Organization
Contact information
Practice address
11414 W PARK PL STE 218, MILWAUKEE, WI 53224-3500
(414) 391-5048
Mailing address
11414 W PARK PL STE 218, MILWAUKEE, WI 53224-3500
(414) 391-5048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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