Organization
A GRACEFUL LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BATINA M BROWN (ADMINISTRATOR)
(414) 795-3814
Entity
Organization
Contact information
Practice address
3930 N 70TH ST, MILWAUKEE, WI 53216-2020
(414) 795-3814
Mailing address
3930 N 70TH ST, MILWAUKEE, WI 53216-2020
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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