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Organization

JADES COMMUNITY OUTREACH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ATHENA D KORTH (CASE MANAGER DIRECTOR)
(305) 988-5199
Entity
Organization

Contact information

Practice address
3631 W BROWN ST, MILWAUKEE, WI 53208-1936
(305) 988-5199
Mailing address
3631 W BROWN ST, MILWAUKEE, WI 53208-1936
(305) 988-5199

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
11/07/2016
Last updated
11/07/2016
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