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Organization

M.A.T.C.H.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MERRY KYLES (ONWER)
(414) 372-0739
Entity
Organization

Contact information

Practice address
2902 N 1ST ST, MILWAUKEE, WI 53212-2406
(414) 372-0739
Mailing address
2902 N 1ST ST, MILWAUKEE, WI 53212-2406

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
WI

Other

Enumeration date
02/23/2006
Last updated
08/22/2020
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