Organization
ABUNDANT LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA KELLIE ANTHONY MSW (SOCIAL WORKER/DIRECTOR)
(414) 745-2252
Entity
Organization
Contact information
Practice address
15000 W NORTH AVE, BROOKFIELD, WI 53005-4540
(414) 745-2252
Mailing address
1720 W FLORIST AVE, GLENDALE, WI 53209-3800
(414) 745-2252
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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