Organization
ABUNDANT BLESSINGS COMMUNITY OUTREACH SARVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STINA BAKER LPN (PRESIDENT)
(414) 562-2208
Entity
Organization
Contact information
Practice address
216 E GARFIELD AVE, MILWAUKEE, WI 53212-3302
(414) 562-2208
(414) 395-3794
Mailing address
216 E GARFIELD AVE, MILWAUKEE, WI 53212-3302
(414) 562-2208
(414) 395-3794
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
28807-031
WI
Other
Enumeration date
10/30/2012
Last updated
12/17/2012
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