Organization
GENERATION OF EXCELLENCE WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA A BAKER (CEO)
(414) 526-5687
Entity
Organization
Contact information
Practice address
4260 BEVERLY RD, MADISON, WI 53711-3752
(414) 526-5687
Mailing address
7003 W SANDPIPER CT, MILWAUKEE, WI 53223-2754
(414) 526-5687
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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