Organization
PAMELAS LIFE CHANGING MOMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA YVETTE OWENS (OWNER)
(414) 265-5594
Entity
Organization
Contact information
Practice address
6815 W CAPITOL DR STE 312, MILWAUKEE, WI 53216-2056
(414) 265-5594
(414) 800-4009
Mailing address
6815 W CAPITOL DR STE 312, MILWAUKEE, WI 53216-2056
(414) 265-5594
(414) 800-4009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710544929
—
WI
Enumeration date
05/24/2019
Last updated
05/24/2019
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