Organization
ALTRUISTIC SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMERLETHA L AMOS (OWNER)
(414) 975-6680
Entity
Organization
Contact information
Practice address
10721 W CAPITOL DR # 209, MILWAUKEE, WI 53222-1210
(414) 202-0335
Mailing address
10721 W CAPITOL DR # 209, MILWAUKEE, WI 53222-1210
(414) 975-6680
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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