Organization
LOVE LIFE YOUTH AND FAMILY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FERGUSON I (EXECUTIVE DIRECTOR)
(414) 484-6750
Entity
Organization
Contact information
Practice address
9261 E W ALLYN ST, MILWAUKEE, WI 53206-4444
(414) 484-6750
(414) 446-9921
Mailing address
9261 E W ALLYN ST, MILWAUKEE, WI 53206-4444
(414) 484-6750
(414) 446-9921
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100035410
—
WI
Enumeration date
03/25/2014
Last updated
03/25/2014
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