Organization
SAFE N HIS ARMS SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL L JOHNSON (ADMINSTRATOR/CARE COORDINATIO)
(414) 313-3003
Entity
Organization
Contact information
Practice address
2505 W CORNELL STREET, MILWAUKEE, WI 53209
(414) 447-8306
Mailing address
2505 W CORNELL STREET, MILWAUKEE, WI 53209
(414) 447-8306
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44019600
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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