Organization
COREYS PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE ADAMS ADMINISTRATOR (ADMINISTRATOR)
(414) 324-7265
Entity
Organization
Contact information
Practice address
4049 N 69TH ST, MILWAUKEE, WI 53216-1120
(414) 324-7265
Mailing address
PO BOX 100892, MILWAUKEE, WI 53210-0892
(414) 324-7265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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